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1.
Hygiene monitoring systems for hospital textile laundering
Sabina Fijan, Sonja Šostar-Turk, 2007, strokovni članek

Opis: The main aim of washing laundry is to remove soils and microorganisms from infected and dirty textiles and achieve clean, fresh and disinfected textiles ready for use. Textiles undergo laundering processes, which include: soil removal with special laundering agents; bleaching; disinfecting; and finally neutralising and rinsing. Because textiles from hospitals may contain many kinds of pathogenic -bacteria, fungi and viruses, it is essential that the laundering process has not only a cleaning effect but also an antimicrobial one. Since users of hospital textiles are often patients with a weakened immune -system, it is recommended that best practice and common sense be employed when washing and -disinfecting hospital textiles. Most people assume that the laundry returned to them is in fact clean and, therefore, safe. Experience encourages all infection control teams to take laundering very seriously. (1-15) Inappropriately disinfected textiles are one of the possible sources of nosocomial infections for patients. There are reports of hospital textiles being the source of nosocomial infection with streptococci, enterococci, Bacillus cereus, staphylococci and coliforms.(5-9) There are some documented cases where staff in hospital wards and laundries have been infected with scabies, fungi, salmonellas, gastroenteritis viruses, hepatitis A viruses and coxiellas after treating dirty laundry.
Ključne besede: textile care, hospital laundry, laundry hygiene, micro-organisms, washing quality parameters, sanitary microbiological parameters, hospital-acquired disease prevention, sanitary measures
Objavljeno: 31.05.2012; Ogledov: 1744; Prenosov: 18
URL Povezava na celotno besedilo

2.
Implementing hygiene monitoring systems in hospital laundries in order to reduce microbial contamination of hospital textiles
Sabina Fijan, Sonja Šostar-Turk, Avrelija Cencič, 2005, izvirni znanstveni članek

Opis: As textiles sent to hospital laundries contain many types of pathogenic organisms, it is important that laundering not only has an appropriate cleaning effect but also has a satisfactory disinfecting effect. Critical to this process is the maintenance of an appropriate hygiene level in the clean area of laundries in order to prevent recontamination of textiles from manual handling when ironing, folding, packing etc. The aims of this study were to evaluate the hygienic state of a hospital laundry, to introduce continuous sanitary measures, and to introduce a continuous hygiene monitoring system with an infection control programme. Two systems for evaluating hospital laundry hygiene were combined: HACCP principles (hazard analysis and critical control points) and RAL-GZ 992 standards (quality assurance standard for textile care of hospital laundry). Evaluation of the hygienic state of the hospital laundry was carried out by evaluating the number and types of micro-organisms present at the critical control points throughout the whole laundering process, using RODAC agar plates for surface sampling and the pour plate method for investigating water samples. The initial examination showed that the sanitary condition of the laundry did not reach the required hygiene level. Therefore, fundamental sanitation measures were instituted and the examination was repeated. Results were then satisfactory. The most important critical control point was the chemothermal laundering efficiency of the laundering process. To prevent micro-organisms spreading into the entire cleanworking area, it is important that, in addition to regular sanitary measures such as cleaning/disinfecting all working areas, technical equipment and storage shelves etc., regular education sessions for laundry employees on proper hand hygiene is undertaken and effective separation of the clean and dirty working areas is achieved.
Ključne besede: textile care, hospital laundry, laundry hygiene, micro-organisms, washing quality parameters, sanitary microbiological parameters, hospital-acquired disease prevention, sanitary measures
Objavljeno: 01.06.2012; Ogledov: 1915; Prenosov: 30
URL Povezava na celotno besedilo

3.
Rotaviral RNA found on various surfaces in a hospital laundry
Sabina Fijan, Andrej Steyer, Mateja Poljšak-Prijatelj, Avrelija Cencič, Sonja Šostar-Turk, Srečko Koren, 2008, izvirni znanstveni članek

Opis: The aim of this investigative study was to determine the presence of rotaviral RNA at various control points (CP) of a hospital laundry. One of the possible sources of hospital infections is inappropriately laundered and disinfected hospital textiles. RT-PCR and nested PCR for gene amplification using specific primers following RNA isolation were used to determine the presence of rotaviral RNA on swabs. In addition, rotavirus suspensions were inoculated on marked surfaces as positive controls for different surfaces (cotton textiles, folding table and industrial dryer). Rotaviral RNA was found on various laundry surfaces: technical equipment, storage shelves, transport vehicles, personnel's hands, damp textiles, and folded laundry. Rotaviral RNA was also detected at all positive controls on tested surfaces after 24 h. Based on the results, it is very important to take into consideration the proper handling of textiles after washing as one of the precautions against hospital-acquired infections. This paper reports the presence of rotaviral RNA for the first time on surfaces in laundries and equipment, as well as textiles.
Ključne besede: laundry hygiene, rotaviruses, hospital-acquired disease prevention, sanitary measures, occupational health
Objavljeno: 01.06.2012; Ogledov: 1710; Prenosov: 34
URL Povezava na celotno besedilo

4.
Antimicrobial disinfection effect of a laundering procedure for hospital textiles against various indicator bacteria and fungi using different substrates for simulating human excrements
Sabina Fijan, Srečko Koren, Avrelija Cencič, Sonja Šostar-Turk, 2007, izvirni znanstveni članek

Opis: Recent studies confirm the increase of nosocomial infections and microbial resistance. One of the possible causes is infected textiles due to inappropriate laundering procedures. Most Slovenian laundries use thermal laundering procedures with high energy and water consumption to disinfect hospital textiles. In addition to this fact, there is an increasing number of hospital textiles composed of cotton/polyester blends that cannot endure high temperatures of thermal disinfection. On the other hand, decreasing the temperature of laundering procedures enhances the possibility of pathogenic microorganisms to survive the laundering procedure. In our research, we determined the antimicrobic laundering effect by simulating a common laundering procedure for hospital textiles in the laboratory washing machine at different temperatures by the use of bioindicators. Enterococcus faecium, Staphylococcus aureus, Mycobacterium terrae, Enterobacter aerogenes, and Pseudomonas aeruginosa were used for determining the antibacterial laundering effect. Candida albicans was used for determining the antifungal laundering effect. Swine blood, artificial sweat, and swine fat were used as substrates for simulating human excrements and were inoculated together with the chosen microorganisms onto cotton pieces to simulate real laundering conditions. It was found that E. faecium, S. aureus, E. aerogenes, and P. aeruginosa survivedat 60 °C, but no microorganisms were found at 75 °C.
Ključne besede: textile care, hospital laundry, laundry hygiene, micro-organisms, bioindicators, disinfection effect, hospital-acquired disease prevention, sanitary measures
Objavljeno: 01.06.2012; Ogledov: 1762; Prenosov: 49
URL Povezava na celotno besedilo

5.
6.
Some reflections on community sanctions and measures in Europe
Ioan Durnescu, 2009, pregledni znanstveni članek

Ključne besede: probation, criminal penalties, measures, supervision, Europe
Objavljeno: 04.06.2012; Ogledov: 933; Prenosov: 20
URL Povezava na celotno besedilo

7.
8.
On the validity of cross-cultural social studies using student samples
Sergej Flere, Miran Lavrič, 2008, izvirni znanstveni članek

Opis: Student samples have become a widely used resource in the study of not only particular phenomena and problems within individual environments but also of their study within a cross-cultural context. A number of such studies, most often generalizing their results to the level of cultures, are illustrated in this article. In addition, the authors carry out a number of empirical tests of the generalizability of results attained on student samples in cross-cultural research. Based on the World Values Survey data, mean values of four sociologically and psychologically relevant measures are compared between national and student samples of twenty-three countries. Results suggest that the findings attained on student samples can be viewed cautiouslyas a good indicator of national sample rankings in cross-national comparisons.
Ključne besede: cross-cultural studies, students, values, validity, measures
Objavljeno: 07.06.2012; Ogledov: 673; Prenosov: 46
URL Povezava na celotno besedilo

9.
System dynamic model of measures for reducing the number of road accidents due to wrong-way movement on motorways
Darja Topolšek, Martin Lipičnik, 2009, kratki znanstveni prispevek

Opis: This paper provides a system dynamic model for reducing the number of motorway accidents due to wrong-way driving. Motorway accidents are often fatal due to high speeds. It is therefore necessary to carry out all the possible countermeasures in order to achieve adequate traffic management. One of the reasons for motorway accidents is driving in the wrong direction. Based on the analysis of the data on motorway accidents caused by driving in the wrong direction and based on the knowledge of individual project elements of junctions and slip roads, this paper will focus on this area. The possible countermeasures, presented here for preventing drivers from driving in the wrong direction on motorways drastically reduce the number of U-turn maneuvers that result in driving in the wrong direction and influence the level of safety on motorways. With the help of this model of system dynamics the countermeasures for reducing the number of such drivers will be confirmed and their effects will be shown.
Ključne besede: traffic safety, motorway, direction, road accidents, measures, system dynamics
Objavljeno: 06.06.2017; Ogledov: 253; Prenosov: 112
.pdf Celotno besedilo (135,13 KB)
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10.
Homecare service providers as an organizational form of support for the elderly
Polona Šprajc, Iztok Podbregar, Alenka Brezavšček, 2017, izvirni znanstveni članek

Opis: Background and Purpose: Different studies have highlighted health care allocation problems in Slovenia that indicate the increased need for homecare services for the elderly. It was also found that Slovenian municipalities differ dramatically in the availability of elder care services. A number of older people with diverse unmet needs for care remains. Therefore, the need for the establishment of an additional type of formal homecare services for the elderly exists. Design/Methodology/Approach: Although many positive effects of home elder care against institutional care are stressed in the literature, the results of many studies performed in recent years have indicated that accessibility of homecare for elderly in Slovenia remains scarce, and it is not equally accessible throughout the country. To mitigate this problem, a new organizational form called “elder homecare service provider” is indicated. The aim of the provider is to offer a variety of different services for the elderly (e.g. homemaking, social networking, transfer services, basic life needs, basic health services, etc.). The establishment of such an organization needs to be designed carefuly, while the unique characteristics and specific needs of the target population must be addressed to optimize desired outcomes. Results: The aim of the paper is to provide fundamental guidelines for the establishment of elder homecare service provider. All essential characteristics of such an organization are defined. To ensure an appropriate level of service quality, the primary focus is oriented towards the planning of personnel team capacity. For this purpose, the service provider was described using the stochastic queueing model, which enables service capacity optimization considering different performance measures. The usefulness of the model was illustrated with a numerical example, which has shown that the results obtained provide valuable information for decision support. Conclusion: The establishment of a homecare service provider network would have many positive effects on society in general. The quality of the everyday life of the elderly is expected to be improved considerably, particularly in the rural areas where a lack of institutional care support is reported. Guidelines proposed in the paper together with the quantitave model for planning of its optimal capacity provide useful information, which are especially relevant in the preliminary phase of the establishment of service providers.
Ključne besede: elderly, service provider, performance measures, capacity planning
Objavljeno: 01.09.2017; Ogledov: 336; Prenosov: 44
.pdf Celotno besedilo (569,19 KB)
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