Türkiye’de bulunan yoğun bakımlarda sabun, kağıt havlu ve alkol bazlı el dezenfektanı yeterli mi?: Phokai çalışması sonuçları

Introduction: Hand hygiene is one of the most effective infection control measures to prevent the spread of healthcare-associated infections (HCAI). Water, soap, paper towel and hand disinfectant must be available and adequate in terms of effective hand hygiene. The adequacy of hand hygiene products or keeping water-soap and paper towel is still a problem for many developing countries like Turkey. In this multicenter study, we analyzed the adequacy in number and availability of hand hygiene products.Materials and Methods: This study was performed in all intensive care units (ICUs) of 41 hospitals (27 tertiary-care educational, 10 state and four private hospitals) from 22 cities located in seven geographical regions of Turkey. We analyzed water, soap, paper towel and alcohol-based hand disinfectant adequacy on four different days, two of which were in summer during the vacation time (August, 27th and 31st 2016) and two in autumn (October, 12th and 15th 2016).Results: The total number of ICUs and intensive care beds in 41 participating centers were 214 and 2357, respectively. Overall, there was no soap in 3-11% of sinks and no paper towel in 10-18% of sinks while there was no alcohol-based hand disinfectant in 1-4.7% of hand disinfectant units on the observation days. When we compared the number of sinks with soap and/or paper towel on weekdays vs. weekends, there was no significant difference in summer. However, on autumn weekdays, the number of sinks with soap and paper towel was significantly lower on weekend days (p<0.0001, p<0.0001) while the number of hand disinfectant units with alcohol-based disinfectant was significantly higher (p<0.0001).Conclusion: There should be adequate and accessible hand hygiene materials for effective hand hygiene. In this study, we found that soap and paper towels were inadequate on the observation days in 3-11% and 10-18% of units, respectively. Attention should be paid on soap and paper towel supply at weekends as well

Manufacture Techniques of Chitosan-Based Microcapsules to Enhance Functional Properties of Textiles

In recent years, the textile industry has been moving to novel concepts of products, which could deliver to the user, improved performances. Such smart textiles have been proven to have the potential to integrate within a commodity garment advanced feature and functional properties of different kinds. Among those functionalities, considerable interest has been played in functionalizing commodity garments in order to make them positively interact with the human body and therefore being beneficial to the user health. This kind of functionalization generally exploits biopolymers, a class of materials that possess peculiar properties such as biocompatibility and biodegradability that make them suitable for bio-functional textile production. In the context of biopolymer chitosan has been proved to be an excellent potential candidate for this kind of application given its abundant availability and its chemical properties that it positively interacts with biological tissue. Notwithstanding the high potential of chitosan-based technologies in the textile sectors, several issues limit the large-scale production of such innovative garments. In facts the morphologies of chitosan structures should be optimized in order to make them better exploit the biological activity; moreover a suitable process for the application of chitosan structures to the textile must be designed. The application process should indeed not only allow an effective and durable fixation of chitosan to textile but also comply with environmental rules concerning pollution emission and utilization of harmful substances. This chapter reviews the use of microencapsulation technique as an approach to effectively apply chitosan to the textile material while overcoming the significant limitations of finishing processes. The assembly of chitosan macromolecules into microcapsules was proved to boost the biological properties of the polymer thanks to a considerable increase in the surface area available for interactions with the living tissues. Moreover, the incorporation of different active substances into chitosan shells allows the design of multifunctional materials that effectively combine core and shell properties. Based on the kind of substances to be incorporated, several encapsulation processes have been developed. The literature evidences how the proper choices concerning encapsulation technology, chemical formulations, and process parameter allow tuning the properties and the performances of the obtained microcapsules. Furthermore, the microcapsules based finishing process have been reviewed evidencing how the microcapsules morphology can positively interact with textile substrate allowing an improvement in the durability of the treatment. The application of the chitosan shelled microcapsules was proved to be capable of imparting different functionalities to textile substrates opening possibilities for a new generation of garments with improved performances and with the potential of protecting the user from multiple harms. Lastly, a continuous interest was observed in improving the process and formulation design in order to avoid the usage of toxic substances, therefore, complying with an environmentally friendly approach

Fabrication of thermoresponsive cotton graft PNIPAA fabric

The aim of this study is to produce thermoresponsive cotton fabric. For this aim, poly(N-isopropylacrylamide) (PNIPAA) polymer was synthesized and grafted on the cotton fabric by free radical polymerization method. PNIPAA-grafted cotton fabric (PNIPAA-g-CF) was characterized chemically and morphologically and tested to investigate thermoresponsive property. Morphology and chemical structure of PNIPAA-g-CF were investigated by scanning electron microscopy (SEM) and Fourier transform infrared (FT-IR) spectrophotometer analysis, respectively. The results of this study indicated that PNIPAA polymer synthesis and coating on to the cotton fabric surface was realized successfully. Thermoresponsive behaviour of PNIPAA-g-CF was determined by optical microscopy (OM) analysis, and wetting time, water uptake, water vapour permeability and contact angle measurements were performed at different temperature. The results indicated that hydrophilic characteristic of the fabric changed to the hydrophobic depending on increasing temperature. Besides, the pores of the fabric were getting bigger with increasing temperature. All results showed that the PNIPAA-g-CF exhibited thermoresponsive behaviour. © 2018, © 2018 The Textile Institute.4486-D2-16This work was financially supported by the Suleyman Demirel University (Project No. 4486-D2-16)

Preparation of poly(methyl methacrylate-co-ethylene glycol dimethacrylate-co-glycidyl methacrylate) walled thermochromic microcapsules and their application to cotton fabrics

This study focused on fabrication of the thermochromic microcapsules and their application to the cotton fabric. In this study, thermochromic systems composed of crystal violet lactone, bisphenol A, and 1-tetradecanol were prepared and microencapsulated by emulsion polymerization method in poly(methyl methacrylate-co-ethylene glycol dimethacrylate-co-glycidyl methacrylate) wall. The microcapsules were analyzed by Fourier transform infrared spectroscopy, scanning electron microscope, transmission electron microscope, differential scanning calorimetry, and thermogravimetric analysis. Their thermoregulating property was tested by T-history test. The results revealed that microcapsules with smooth surfaces, core–shell structured, and spherical shape were successfully produced. The latent heat storage capacity of the microcapsules decreased from 202 J g?1 to 167 J g?1 when their shell/core ratio changed from 0.5/1 to 2/1. Microcapsules were adequately had sufficient thermal resistance to the temperatures they will encounter during their application to textile products and their usage. According to the UV–visible spectroscopy analysis and color measurements, the microcapsules exhibited reversible color change from blue to colorless and vice versa. Besides, the microcapsule impregnated fabric was able to absorb latent heat energy of 21.79 J g?1 at around 35 °C and had cooling effect. According to the colorimetric parameters, the fabric was at blue color at room temperature and became colorless when heated to the temperature above the melting point of thermochromic system. © 2019 Wiley Periodicals, Inc. J. Appl. Polym. Sci. 2019, 137, 48815. © 2019 Wiley Periodicals, Inc.4602?D2?16This study was funded by a Scientific Research Project of Suleyman Demirel University (Project no: 4602?D2?16)

Development of thermo-regulating fabrics using PCM microcapsules with poly(methyl methacrylate-co-2-hydroxy ethyl methacrylate) shell and n-alkane core

Purpose: The purpose of this paper is to prepare microencapsulated phase change materials (PCMs) and apply them to cotton and wool fabrics for developing thermo-regulating fabrics. Design/methodology/approach: Microencapsulated n-hexadecane and n-octadecane with poly(methylmethacrylate-co-2-hydroxy ethyl methacrylate) shell was prepared. Microcapsules were fabricated using oil-in-water emulsion polymerization method. Their chemical structure, microstructure, thermal energy storage properties and thermal stability were analyzed by Fourier-transform infrared spectroscopy, polarized light microscope, differential scanning calorimeter and thermogravimetric analyzer, respectively. The mean particle size was tested by a particle sized instrument. The microcapsules were applied to the wool and cotton fabrics using pad-dry-cure method. The thermo-regulating property of the fabrics was evaluated using the T-History test. The distribution and durability of the microcapsules on the fabrics was investigated with scanning electron microscopy. Findings: Spherical microcapsules with p(MMA-co-HEMA) shell and n-alkane core have been produced successfully. n-hexadecane in microcapsule solidifies at 14.8?15.6°C with the latent heat of 65.6?129.8 J/g and melts at 16.7?16.9°C with the latent heat of 67.6?136.9 J/g. Microencapsulated n-octadecane solidifies at 25.8?26.3°C with the latent heat of 74.1?106.2 J/g and melts at 26.8?27.4°C with the latent heat of 80.3?113.4 J/g. The microcapsules have enough thermal stability to the temperature of 150°C that was applied during the fixation of microcapsules on the fabric. The thermo-regulating effect of the microcapsule-incorporated fabrics has been proved by the T-history test. Originality/value: PCM microcapsules with p(MMA-co-HEMA) shell and n-hexadecane and n-octadecane core have been produced and their usage to produce thermo-regulating textiles have been proved. To determine the thermo-regulating property of the fabrics treated with these new PCM microcapsules, a T-History system has been designed. © 2018, Emerald Publishing Limited.111M484The authors would like to acknowledge the financial support by the Scientific and Technological Council of Turkey (Project No. 111M484)

Is Nurse Workforce Sufficient in Intensive Care Units in Turkey. Results of the Multicenter Karia Study

Introduction: In this multicenter study, we analysed the magnitude of healthcare worker (HCW) [infection control practitioner (ICP), nurses and others] workforce in hospitals participated in the study. Materials and Methods: This study was performed in 41 hospitals (with intensive care units-ICU) located in 22 cities from seven regions of Turkey. We analysed the ICP workforce, nursing and auxiliary HCW (AHCW) workforce in ICUs, number of ICU beds and occupied beds in four different days [two of which were in summer during the vacation time (August 27 and 31, 2016) and two others in autumn (October 12 and 15, 2016)]. The Turkish Ministry of Health (TMOH) requires two patients per nurse in level 3 ICUs, three patients per nurse in level 2 ICUs and five patients per nurse in level 1 ICUs. There is no standardization for the number of AHCW in ICUs. Finally, one ICP per 150 hospital beds is required by TMOH. Results: The total number of ICUs, ICU beds and ICPs were 214, 2377 and 111, respectively in he 41 participated centers. The number ICPs was adequate only in 12 hospitals. The percentage of nurses whose working experience was 2. The number of patients per other HCW was minimum 3.75 and maximum 4.89 on weekdays and on day shift while it was minimum 5.02 and maximum 7.7 on weekends or on night shift. When we compared the number of level 1, 2 and 3 ICUs with adequate nursing workforce vs inadequate nursing workforce, the p value was <0.0001 at all time points except summer weekend night shift (p=0.002). Conclusion: Our data suggest that ICP workforce is inadequate in Turkey. Besides, HCW workforce is inadequate and almost 1/4 of nurses are relatively inexperienced especially in level 3 ICUs. Turkish healthcare system should promptly make necessary arrangements for adequate HCW staffing

Are Soap, Paper Towel and Alcohol-based Disinfectants Easily Accessible in Intensive Care Units in Turkey?: Results of the Phokai Study

Introduction: Hand hygiene is one of the most effective infection control measures to prevent the spread of healthcare-associated infections (HCAI). Water, soap, paper towel and hand disinfectant must be available and adequate in terms of effective hand hygiene. The adequacy of hand hygiene products or keeping water-soap and paper towel is still a problem for many developing countries like Turkey. In this multicenter study, we analyzed the adequacy in number and availability of hand hygiene products. Materials and Methods: This study was performed in all intensive care units (ICUs) of 41 hospitals (27 tertiary-care educational, 10 state and four private hospitals) from 22 cities located in seven geographical regions of Turkey. We analyzed water, soap, paper towel and alcohol-based hand disinfectant adequacy on four different days, two of which were in summer during the vacation time (August, 27th and 31st 2016) and two in autumn (October, 12th and 15th 2016). Results: The total number of ICUs and intensive care beds in 41 participating centers were 214 and 2357, respectively. Overall, there was no soap in 3-11% of sinks and no paper towel in 10-18% of sinks while there was no alcohol-based hand disinfectant in 1-4.7% of hand disinfectant units on the observation days. When we compared the number of sinks with soap and/or paper towel on weekdays vs. weekends, there was no significant difference in summer. However, on autumn weekdays, the number of sinks with soap and paper towel was significantly lower on weekend days (p<0.0001, p<0.0001) while the number of hand disinfectant units with alcohol-based disinfectant was significantly higher (p<0.0001). Conclusion: There should be adequate and accessible hand hygiene materials for effective hand hygiene. In this study, we found that soap and paper towels were inadequate on the observation days in 3-11% and 10-18% of units, respectively. Attention should be paid on soap and paper towel supply at weekends as well