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1.
Medicine (Baltimore) ; 99(9): e19305, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-32118750

RESUMEN

BACKGROUND: Numerous reports in the media have suggested that children could be hurt due to their clothing, yet there are few medical reports that discussed children's clothing-related injuries. This study therefore, aimed to describe the epidemiological characteristics of media-reported injury cases related to children's clothing in Mainland of China. METHODS: This study systematically collected a total of 192 cases of children's clothing-related injuries reported in the news reports and medical literatures published by the Chinese media before December 2017. A content analysis of these cases was conducted to obtain information on the characteristics of these injuries. RESULTS: Cases of clothing-related injuries were most common in children aged 3 to 6 years (54.7%); the ratio of the number of boys to the number of girls in the 192 cases was 1.5: 1. In addition, approximately 51% of the cases occurred in the region of East China. The most common location of the incidents was in the home (35%). Furthermore, the zippers are the most common cause of injuries (15.1%), and the most common injured body part was the genital organs (29.2%). Besides, there were 24 cases reported death related to clothing injuries (13%). Moreover, the locations where the injuries occurred, the reasons for the occurrence of the injuries and the injured body parts differed significantly by gender and age (P < .05). CONCLUSIONS: Our findings suggest that future unintentional injuries could be prevented by implementing 2 major initiatives: improving the promotion of the safety of children clothing design in China and educating consumers on the potential risk associated with children's clothing.


Asunto(s)
Vestuario/estadística & datos numéricos , Medios de Comunicación de Masas/estadística & datos numéricos , Heridas y Traumatismos/etiología , Adolescente , Niño , Preescolar , China/epidemiología , Vestuario/efectos adversos , Femenino , Humanos , Masculino , Heridas y Traumatismos/diagnóstico , Heridas y Traumatismos/epidemiología
2.
Environ Sci Technol ; 54(6): 3288-3296, 2020 03 17.
Artículo en Inglés | MEDLINE | ID: mdl-32101431

RESUMEN

Textiles are one of the major sources of microplastic pollution to aquatic environments and have also been reported in dry and wet atmospheric deposition. There is still a lack of information on the direct release of microfibers from garments to the air and on the influence of textile characteristics including structure, type of yarn, and twist. The present study examines microfiber emissions directly to the air and to water as a consequence of laundering. Polyester garments with different textile characteristics were examined including various material compositions, fabric structure, yarn twist, fiber type, and hairiness. Scaling up our data indicates release of microfibers per person per year to the air is of a similar order of magnitude to that released to wastewater by laundering. The lowest releases to both air and water were recorded for a garment with a very compact woven structure and highly twisted yarns made of continuous filaments, compared with those with a looser structure (knitted, short staple fibers, lower twist). Our results demonstrate for the first time that direct release of microfibers from garments to air as a consequence of wear is of equal importance to releases to water. Currently there is considerable interest in interventions focused on capture from wastewater. However, our results suggest more effective interventions are likely to result from changes in textile design that could reduce emissions to both air and water.


Asunto(s)
Lavandería , Vestuario , Plásticos , Poliésteres , Textiles , Agua
5.
J Forensic Sci ; 65(1): 295-303, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-30859587

RESUMEN

A set of historic murders, known as the "Jack the Ripper murders," started in London in August 1888. The killer's identity has remained a mystery to date. Here, we describe the investigation of, to our knowledge, the only remaining physical evidence linked to these murders, recovered from one of the victims at the scene of the crime. We applied novel, minimally destructive techniques for sample recovery from forensically relevant stains on the evidence and separated single cells linked to the suspect, followed by phenotypic analysis. The mtDNA profiles of both the victim and the suspect matched the corresponding reference samples, fortifying the link of the evidence to the crime scene. Genomic DNA from single cells recovered from the evidence was amplified, and the phenotypic information acquired matched the only witness statement regarded as reliable. To our knowledge, this is the most advanced study to date regarding this case.


Asunto(s)
Vestuario , Dermatoglifia del ADN/métodos , Genética Forense/métodos , Homicidio/historia , Manchas de Sangre , Vestuario/historia , Víctimas de Crimen , Criminales , ADN Mitocondrial/genética , ADN Mitocondrial/aislamiento & purificación , Fluorescencia , Historia del Siglo XIX , Humanos , Rayos Infrarrojos , Captura por Microdisección con Láser , Reacción en Cadena de la Polimerasa , Polimorfismo de Nucleótido Simple , Análisis de Secuencia de ADN , Análisis de la Célula Individual , Reino Unido , Secuenciación Completa del Genoma
6.
Carbohydr Polym ; 227: 115363, 2020 Jan 01.
Artículo en Inglés | MEDLINE | ID: mdl-31590853

RESUMEN

Environmental benign cellulosic textiles are hampered by their tendency to absorb water, which restricts their use in functional clothing. Herein we describe a method to functionalize textile surfaces using thin, open coatings based on natural wax particles and natural polymers rendering cellulosic fabrics water-repellent while retaining their feel and breathability. The impact of curing temperature, cationic polymer and fabric properties on wetting and long-term water-repellency were studied using contact angle measurements and scanning electron microscopy. The wetting properties were correlated to roughness of the textiles using white light interferometer. X-ray photoelectron spectroscopy revealed the surface chemical composition, leading to fundamental understanding of the effect of annealing on the wax layer. Breathability was evaluated by water vapor permeability. The optimal curing temperature was 70 °C. The developed coating performed well on different natural textiles, and better than commercial alternatives. A set of garment prototypes were produced using the coating.


Asunto(s)
Celulosa/química , Textiles , Ceras/química , Vestuario , Calor , Interacciones Hidrofóbicas e Hidrofílicas , Propiedades de Superficie
7.
Br J Nurs ; 28(22): S26-S33, 2019 Dec 12.
Artículo en Inglés | MEDLINE | ID: mdl-31835944

RESUMEN

BACKGROUND: support garments are commonly worn by people with a urostomy but there are no published data about their experiences of doing so. AIMS: to identify the views of people living with a urostomy on the role of support garments. METHODS: a cross-sectional survey of the stoma population's experiences of support garments was conducted in 2018. Recruitment was by social media. The free-text responses provided by a sub-sample of 58 people out of 103 respondents with a urostomy, were analysed. FINDINGS: thematic analysis revealed four themes: physical self-management; psychosocial self-management; lifestyle; and healthcare advice and support. There were mixed feelings about the value of support garments. Many cited a sense of reassurance and confidence and being able to be more sociable and active; others reported discomfort and uncertainty about their value. CONCLUSION: these findings add new understanding of experiences of support garments and provide novel theoretical insights about life with a urostomy.


Asunto(s)
Vestuario , Estomía , Derivación Urinaria , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Estudios Transversales , Femenino , Humanos , Masculino , Persona de Mediana Edad , Investigación Cualitativa , Adulto Joven
8.
Pol J Microbiol ; 68(3): 323-329, 2019 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-31880878

RESUMEN

This study conducts a comparative phenotypic and genetic analysis of C. perfringens strains isolated from two patients hospitalized at the same time in 2017 in the surgical ward of the Provincial Specialist Hospital in Wloclawek (Kujawsko-Pomorskie Province) who developed necrotizing soft tissue infections (NSTI). To explain the recurring cases of this infection, a comparative analysis was performed for these strains and the ones originating from infections recorded at the same hospital in three patients with gas gangrene in 2015. The two C. perfringens isolates studied in 2017 (8554/M/17 from patient No. 1 and 8567/M/17 from patient No. 2) had identical biochemical profiles. A comparison of research results using multiplex PCR from 2017 with a genetic analysis of strains from 2015 enabled us to demonstrate that the strains currently studied have the genes encoding the same toxins (α and ß2) as the two strains analyzed in 2015: no. 7143 (patient No. 3) and no. 7149 (patient No. 2). A comparative analysis of the strain profiles obtained with pulsed-field gel electrophoresis (PFGE) in 2017 with the results from 2015 has found one identical and genetically unique restriction profile, corresponding to one clone of C. perfringens comprising of two strains: no. 8567/M/17 (patient No. 2 in 2017) and no. 7143 (patient No. 3 in 2015). The epidemiological data and detailed analysis of the course of both events suggest that this clone of C. perfringens possibly survived in adverse conditions of the external environment in the operating block of this hospital for many months.This study conducts a comparative phenotypic and genetic analysis of C. perfringens strains isolated from two patients hospitalized at the same time in 2017 in the surgical ward of the Provincial Specialist Hospital in Wloclawek (Kujawsko-Pomorskie Province) who developed necrotizing soft tissue infections (NSTI). To explain the recurring cases of this infection, a comparative analysis was performed for these strains and the ones originating from infections recorded at the same hospital in three patients with gas gangrene in 2015. The two C. perfringens isolates studied in 2017 (8554/M/17 from patient No. 1 and 8567/M/17 from patient No. 2) had identical biochemical profiles. A comparison of research results using multiplex PCR from 2017 with a genetic analysis of strains from 2015 enabled us to demonstrate that the strains currently studied have the genes encoding the same toxins (α and ß2) as the two strains analyzed in 2015: no. 7143 (patient No. 3) and no. 7149 (patient No. 2). A comparative analysis of the strain profiles obtained with pulsed-field gel electrophoresis (PFGE) in 2017 with the results from 2015 has found one identical and genetically unique restriction profile, corresponding to one clone of C. perfringens comprising of two strains: no. 8567/M/17 (patient No. 2 in 2017) and no. 7143 (patient No. 3 in 2015). The epidemiological data and detailed analysis of the course of both events suggest that this clone of C. perfringens possibly survived in adverse conditions of the external environment in the operating block of this hospital for many months.


Asunto(s)
Toxinas Bacterianas/metabolismo , Clostridium perfringens/aislamiento & purificación , Infección Hospitalaria/microbiología , Gangrena Gaseosa/microbiología , Toxinas Bacterianas/genética , Clostridium perfringens/clasificación , Clostridium perfringens/genética , Clostridium perfringens/metabolismo , Vestuario/efectos adversos , Humanos , Masculino , Persona de Mediana Edad , Filogenia
9.
BMC Infect Dis ; 19(1): 897, 2019 Oct 28.
Artículo en Inglés | MEDLINE | ID: mdl-31660887

RESUMEN

BACKGROUND: The impact of animals sources of food as a possible reservoir for extended-spectrum ß-lactamase (ESBL) - Producing E. coli, and the dissemination of such strains into the food production chain need to be assessed. This study was aimed to assess the presence and antimicrobial susceptibility patterns of ESBLs - producing E. coli isolates from minced meat and environmental swab samples at meat retailer shops of Jimma town, Southwest Ethiopia. METHODOLOGY: A cross-sectional descriptive study was conducted from March to June, 2016. A total of 168 minced meat and swab samples were first enriched by buffered peptone water (BPW) for overnight and streaked onto MacConkey agar. Double disk synergy (DDS) method was used for detection of ESBL-producing strains. A disk of amoxicillin + clavulanic acid (20/10 µg) was placed in the center of Mueller-Hinton agar plate, and cefotaxime (30 µg) and ceftazidime (30 µg) were placed at a distance of 20 mm from the central disk. Checklist was used to assess hygienic status of butcher shops and practices meat handlers. RESULTS: A total of 35 (20.80%) biochemically confirmed E. coli were obtained from 168 samples. Of these, 21 (23.9%) of them were detected from 88 minced meat and the other 14 (17.5%) from 80 swab samples taken from butcher's hand, knives, chopping board and protective clothing. From 35 E. coli isolates, 7(20%) of them were confirmed as ESBL- producers. Among ESBL- producing strains, 85.7% were resistant for cefotaxime and ceftriaxone and 71.4% for ceftazidime. Among non-ESBLs-producing strains only seven isolates were resistant to third generation cephalosporin. All E. coli isolates were resistant to ampicillin, penicillin and erythromycin, and susceptible to amikacin. Poor hygienic status of butcher shops and unhygienic practice of meat handlers were observed. CONCLUSION: The detections of ESBLs- producing strains could be contributed for the increment of multi drug resistant isolates. This study also concluded that, unhygienic meat handling and processing practice can contribute for contaminations of meat. Thus, strategies should be planned and implemented to improve the knowledge and practice of butchers about handling and processing of meat.


Asunto(s)
Escherichia coli/enzimología , Microbiología de Alimentos/métodos , Carne/microbiología , Salud Laboral , beta-Lactamasas/análisis , Animales , Bovinos , Vestuario , Estudios Transversales , Farmacorresistencia Bacteriana Múltiple , Escherichia coli/clasificación , Escherichia coli/aislamiento & purificación , Infecciones por Escherichia coli/prevención & control , Etiopía , Mano/microbiología , Higiene de las Manos , Humanos , Pruebas de Sensibilidad Microbiana
10.
Forensic Sci Int ; 304: 109945, 2019 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-31563009

RESUMEN

Clothing articles are important pieces of evidence in criminal, search and rescue, and search and recovery investigations. Hyperspectral remote sensing of clothing will be an important tool for supporting such investigations in the near future. This study investigated over 300 items of clothing that varied in fabric type, texture, color, and pattern. Clothing items were analyzed using an ASD FieldSpec 4 High Resolution spectroradiometer with a contact probe attachment. Of the clothing items analyzed, there were 141 having endmember fabrics (100% single fabric type composition): 89 were cotton, 39 were polyester, 5 were wool, 1 was cashmere, 3 were acrylic, 1 was leather, and 3 were rayon. The remaining 164 clothing items were various fabric blends. Spectral features relating to different fabric types exhibit sufficient differences that allow them to be discriminated from the surrounding environment, as well as from one another in many, but not all, cases. Cotton and polyester, in particular, two of the most widely-used fabrics, exhibit numerous features in the near infrared (NIR) and shortwave infrared (SWIR) that would allow them to easily be distinguished from geologic materials in the environment such as rocks and soil. Plant based fibers, especially cotton, possess similar reflectance features to vegetation owing to their cellulose content. Outdoor aging experiments were conducted for 19 weeks on selected fabrics. Although significant changes were observed in aged garments, the variability observed in the reflectance of the aged garments does not support the derivation of a metric for aging, at least over the relatively short time scale of this effort. Results from this study should support numerous forensic efforts globally for non-destructive investigation of clothing items in the field and in lab settings with a spectroradiometer, enhance the potential for remote sensing searches, and in the future, potentially documenting crime scenes with hyperspectral imaging.


Asunto(s)
Vestuario , Ciencias Forenses/métodos , Tecnología de Sensores Remotos , Análisis Espectral/métodos , Exposición a Riesgos Ambientales , Humanos , Trabajo de Rescate , Crímenes de Guerra , Tiempo (Meteorología)
11.
Clin Rehabil ; 33(12): 1887-1897, 2019 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-31495192

RESUMEN

OBJECTIVE: To determine the effectiveness of Kinesio taping compared to compression garments during maintenance phase of complex decongestive therapy for breast cancer-related lymphedema. DESIGN: Randomized, cross-over, controlled trial. SETTING: Outpatient tertiary-level hospital rehabilitation setting. SUBJECTS: Randomized sample of 30 women with breast cancer-related lymphedema. INTERVENTIONS: Participants received two interventions, Kinesio taping and compression garment, both lasting four weeks, whose order was randomized by blocks. A four-week washout period was established prior to the interventions and between them. MEASUREMENTS: The main outcome was the lymphedema Relative Volume Change. Secondary outcomes were range of motion of arm joints, self-perception of comfort, and lymphedema-related symptoms (pain, tightness, heaviness, and hardness). RESULTS: The decrease in the Relative Volume Change was greater in the Kinesio taping intervention (-5.7%, SD = 2.0) compared to that observed using compression garments (-3.4%, SD = 2.9) (P < 0.001). The range of motion of five upper-limb movements increased after applying taping (between 5.8° and 16.7°) (P < 0.05), but not after compression (P > 0.05). In addition, taping was perceived as more comfortable by patients (between 2.4 and 3 points better than compression in four questions with a 5-point scale (P < 0.001)) and further reduced lymphedema-related symptoms compared to compression (between 0.96 and 1.40 points better in four questions with a 6-point scale (P < 0.05)). CONCLUSION: Kinesio taping was more effective than compression garments for reducing the lymphedema volume, with less severe lymphedema-related symptoms, better improvement of upper-limb mobility, and more comfort.


Asunto(s)
Cinta Atlética , Neoplasias de la Mama/complicaciones , Vendajes de Compresión , Linfedema/terapia , Extremidad Superior , Anciano , Vestuario , Estudios Cruzados , Femenino , Humanos , Linfedema/etiología , Persona de Mediana Edad , Rango del Movimiento Articular
13.
Zhonghua Wei Zhong Bing Ji Jiu Yi Xue ; 31(8): 1037-1038, 2019 Aug.
Artículo en Chino | MEDLINE | ID: mdl-31537235

RESUMEN

OBJECTIVE: At present, most of the common medical clothes in clinic are uniform medical clothes, but there is no special clothes for patients in intensive care unit (ICU). In recent years, with the extensive application of critical ultrasound in the field of critical medicine, it is obviously difficult to meet the clinical needs on traditional patients' clothes. Guangdong Provincial People's Hospital designed a patient's clothing for critical ultrasound examination. The left/right chest, lateral chest, groin and abdomen of the patient's clothing body were covered with cloth and marked areas. When critically ill patients need to be examined by ultrasound and electrocardiogram, the site can be quickly located only by removing the cloth. At the same time, it can protect patients' privacy, avoid aggravating the condition due to cold, increase patients' comfort in clothing, and also facilitate medical care. It is worthy popularizing in clinic because of its practicability and novel design.


Asunto(s)
Enfermedad Crítica , Unidades de Cuidados Intensivos , Ultrasonografía , Vestuario , Humanos
14.
Forensic Sci Int ; 302: 109885, 2019 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-31430678

RESUMEN

Laundering clothes with modern detergents containing sodium percarbonate can result in false negative results when certain presumptive and confirmatory tests are used to detect the presence of blood. This is problematic as blood evidence can be inadvertently overlooked and criminal activity concealed, simply by laundering bloodstained clothes in detergent. The aim of this research was to determine if the incidence of positive results using tetramethylbenzidine (TMB) reagent, luminol, Bluestar® Magnum, ABAcard® Hematrace® and RSID™-Blood was affected by treatment in hot and cold water, with and without the detergent, sodium percarbonate. This study identified that RSID-Blood consistently produced positive results irrespective of water temperature or the addition of sodium percarbonate. All other reagents returned positive results in the absence of sodium percarbonate, regardless of water temperature. The introduction of sodium percarbonate initiated negative results regardless of water temperature when testing with tetramethylbenzidine reagent, Bluestar® Magnum and ABAcard® Hematrace®. Luminol in the presence of sodium percarbonate responded differently to the temperature change of the water. Cold water returned positive results, however, hot water returned negative results. This research indicates that RSID™-Blood surpassed other blood screening tests identifying blood on sodium percarbonate treated cotton fabric. The results for luminol were varied depending on water temperature, however, luminol performed better as a presumptive test than TMB or Bluestar® Magnum.


Asunto(s)
Manchas de Sangre , Carbonatos , Vestuario , Lavandería , Bencidinas , Compuestos Cromogénicos , Ciencias Forenses , Humanos , Inmunoensayo , Sustancias Luminiscentes , Luminol
15.
Forensic Sci Int ; 302: 109903, 2019 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-31400618

RESUMEN

First used over 50 years ago, forensic palynology is an important tool for law enforcement agencies. In most countries that use forensic palynology, microscopic pollen grains and spores are traditionally used in criminal investigations to link suspects to crime scenes or items. While still underutilized in many parts of the world, forensic palynology is increasingly being used to determine the region of origin, or geolocation, for persons and items of interest. Drawing upon the experience of the authors using trace pollen and spores to geolocate forensic samples, the types, methods, and variables of this type of analysis are discussed and demonstrated using the Baby Doe case from Massachusetts, USA as a case study. This is not an exhaustive list and every forensic sample is unique so the methods and experience presented here are intended to be a guide for future forensic and anti-terrorism investigations as forensic palynology becomes more commonplace in law enforcement agencies around the world.


Asunto(s)
Botánica , Víctimas de Crimen , Ciencias Forenses/métodos , Homicidio , Polen , Esporas , Preescolar , Vestuario , Ecosistema , Cabello , Humanos , Massachusetts , Manejo de Especímenes
16.
Sensors (Basel) ; 19(13)2019 Jul 08.
Artículo en Inglés | MEDLINE | ID: mdl-31288468

RESUMEN

The objective of this paper is to study the ability of polymer optical fiber (POF) to be inserted in a knitted fabric and to measure both pressure and friction when walking. Firstly, POF, marketed and in development, have been compared in terms of the required mechanical properties for the insertion of the fiber directly into a knitted fabric on an industrial scale, i.e. elongation, bending rigidity, and minimum bending radius before plastic deformation. Secondly, the chosen optical fiber was inserted inside several types of knitted fabric and was shown to be sensitive to friction and compression. The knitted structure with the highest sensitivity has been chosen for sock prototype manufacturing. Finally, a feasibility study with an instrumented sock showed that it is possible to detect the different phases of walking in terms of compression and friction.


Asunto(s)
Vestuario , Monitoreo Fisiológico/instrumentación , Fibras Ópticas , Textiles , Acelerometría , Diseño de Equipo , Fricción , Humanos , Monitoreo Fisiológico/métodos , Polímeros , Presión , Reproducibilidad de los Resultados , Caminata
17.
Molecules ; 24(14)2019 Jul 16.
Artículo en Inglés | MEDLINE | ID: mdl-31315188

RESUMEN

The USA is in the midst of an opioid crisis that included over 60,000 overdose fatalities in 2017, mostly unintentional. This is due to excessive use of prescription opioids and the use of very strong synthetic opioids, such as fentanyl, mixed with illicit street drugs. The ability to rapidly determine if people or packages entering the country have or contain drugs could reduce their availability, and thereby decrease the use of illicit drugs. In an effort to address this problem, we have been investigating the ability of surface-enhanced Raman spectroscopy to detect trace amounts of opioids on clothing and packages. Here, we report the measurement of codeine and fentanyl at 100 ng/mL for 5 min on a pad impregnated with gold colloids, as well as a preliminary measurement of 500 pg of fentanyl on a glass surface using one of these pads. The calculated limit of detection for this measurement was 40 pg. This data strongly suggests that these pads, used with portable Raman analyzers, would be invaluable to airport security, drug raids, crime scenes, and forensic analysis.


Asunto(s)
Codeína/análisis , Fentanilo/análisis , /análisis , Vestuario , Contaminación de Medicamentos , Oro Coloide , Límite de Detección , Embalaje de Productos , Espectrometría Raman , Propiedades de Superficie , Estados Unidos
18.
J Athl Train ; 54(7): 758-764, 2019 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-31343276

RESUMEN

CONTEXT: Exertional heatstroke is one of the leading causes of death in American football players. Precooling (PC) with whole-body cold-water immersion (CWI) may prevent severe hyperthermia and, possibly, exertional heatstroke. However, it is unknown how much PC delays severe hyperthermia when participants wear American football uniforms during exercise in the heat. Does PC alter the effectiveness of CWI once participants become hyperthermic or affect perceptual variables during exercise? OBJECTIVES: We asked 3 questions: (1) Does PC affect how quickly participants become hyperthermic during exercise in the heat? (2) Does PC before exercise affect rectal temperature (Trec) cooling rates once participants become hyperthermic? (3) Does PC affect perceptual variables such as rating of perceived exertion (RPE), thermal sensation, and environmental symptoms questionnaire (ESQ) responses? DESIGN: Crossover study. SETTING: Laboratory. PATIENTS OR OTHER PARTICIPANTS: Twelve physically active males (age = 24 ± 4 years, height = 181.8 ± 8.4 cm, mass = 79.9 ± 10.3 kg). INTERVENTION(S): On PC days, participants completed 15 minutes of CWI (9.98°C ± 0.04°C). They donned American football uniforms and exercised in the heat (temperature = 39.1°C ± 0.3°C, relative humidity = 36% ± 2%) until Trec was 39.5°C. While wearing equipment, they then underwent CWI until Trec was 38°C. Control-day procedures were the same except for the PC intervention. MAIN OUTCOME MEASURE(S): Rectal temperature, heart rate, thermal sensation, RPE, and ESQ responses were measured throughout testing. The duration of cold-water immersion was used in conjunction with Trec to calculate cooling rates. RESULTS: Precooling allowed participants to exercise 17.6 ± 3.6 minutes longer before reaching 39.5°C (t11 = 17.0, P < .001). Precooling did not affect postexercise CWI Trec cooling rates (PC = 0.18°C/min ± 0.06°C/min, control = 0.20°C/min ± 0.09°C/min; t11 = 0.9, P = .17); ESQ responses (F2,24 = 1.3, P = .3); or RPE (F2,22 = 2.9, P = .07). Precooling temporarily lowered thermal sensation (F3,26 = 21.7, P < .001) and heart rate (F3,29 = 21.0, P < .001) during exercise. CONCLUSIONS: Because PC delayed hyperthermia without negatively affecting perceptual variables or CWI effectiveness, clinicians may consider implementing PC along with other proven strategies for preventing heat illness (eg, acclimatization).


Asunto(s)
Vestuario , Fútbol Americano , Golpe de Calor , Adulto , Frío , Estudios Cruzados , Ejercicio/fisiología , Fiebre , Fútbol Americano/fisiología , Frecuencia Cardíaca/fisiología , Golpe de Calor/fisiopatología , Golpe de Calor/prevención & control , Calor , Humanos , Masculino , Sensación Térmica/fisiología , Estados Unidos , Agua
19.
J Dtsch Dermatol Ges ; 17(8): 775-784, 2019 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-31305013

RESUMEN

To date, there have been no studies comparing flat-knit and round-knit compression garments for maintenance therapy of lymphedema of the leg. According to expert opinion, flat-knit fabrics are generally recommended for this purpose. Given the differences in the clinical presentation of lymphedema in terms of disease stage and location as well as patient adherence, and, last but not least, for economic reasons, it seems questionable whether all patients with lymphedema of the leg actually do require flat-knit compression garments. Considering technical aspects, published data and our own clinical experience, it seems reasonable that the choice of compression stockings be based on clinical findings and not on the diagnosis. Typical indications for flat-knit garments include significant differences in leg circumference as well as deep skin folds and edema of the toes/forefoot. However, there are also patients with lymphedema who benefit from round-knit fabrics with a high degree of stiffness. In any case, prior to maintenance therapy, it is essential to adequately decongest the legs using compression bandages and/or adaptive compression systems.


Asunto(s)
Vestuario/efectos adversos , Vendajes de Compresión/efectos adversos , Edema/patología , Linfedema/terapia , Medias de Compresión/efectos adversos , Vendajes de Compresión/economía , Elasticidad , Diseño de Equipo , Femenino , Pie/patología , Humanos , Pierna/anatomía & histología , Pierna/patología , Linfedema/complicaciones , Persona de Mediana Edad , Cooperación del Paciente , Grosor de los Pliegues Cutáneos , Medias de Compresión/economía
20.
Lima; Perú. Ministerio de Salud; 20190700. 14 p. tab.
Monografía en Español | LILACS, LIPECS | ID: biblio-1005707

RESUMEN

La norma técnica contiene: la finalidad, objetivos, ámbito de aplicación, base legal, disposiciones generales y específicas para el uso y especificaciones técnicas de la indumentaria de trabajo para el personal técnico y auxiliar asistencial de la salud en las instituciones prestadoras de servicios de salud, a fin de contribuir al cumplimiento de los principios de bioseguridad y los lineamientos de vigilancia, prevención y control de las infecciones asociada a la atención de la salud; así como a la adecuada identificación del personal de la salud por parte de los usuarios de los servicios, al estandarizar la indumentaria de trabajo del personal técnico y auxiliar asistencial de la salud de las entidades conformantes del Sector Salud.


Asunto(s)
Vestuario , Normas Técnicas , Instituciones de Salud , Recursos Humanos
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