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Aseptic Technique
Asepsis is the state of being free from disease-causing micro-organisms (such as pathogenic bacteria, viruses, pathogenic fungi, and parasites). There are two categories of asepsis: medical and surgical. The modern day notion of asepsis is derived from the older antiseptic techniques, a shift initiated by different individuals in the 19th century who introduced practices such as the sterilizing of surgical tools and the wearing of surgical gloves during operations. The goal of asepsis is to eliminate infection, not to achieve sterility. Ideally, an operating field is sterile, meaning it is free of all biological contaminants (e.g. fungi, bacteria, viruses), not just those that can cause disease, putrefaction, or fermentation. Even in an aseptic state, a condition of sterile inflammation may develop. The term often refers to those practices used to promote or induce asepsis in an operative field of surgery or medicine to prevent infection. History The modern concept of asepsis e ...
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A Day In The Life Of An OR Technician 160920-F-AE629-070
A, or a, is the first Letter (alphabet), letter and the first vowel letter of the Latin alphabet, used in the modern English alphabet, and others worldwide. Its name in English is ''English alphabet#Letter names, a'' (pronounced ), plural ''aes''. It is similar in shape to the Ancient Greek letter alpha, from which it derives. The uppercase version consists of the two slanting sides of a triangle, crossed in the middle by a horizontal bar. The lowercase version is often written in one of two forms: the double-storey and single-storey . The latter is commonly used in handwriting and fonts based on it, especially fonts intended to be read by children, and is also found in italic type. In English, ''English articles, a'' is the indefinite article, with the alternative form ''an''. Name In English, the name of the letter is the ''long A'' sound, pronounced . Its name in most other languages matches the letter's pronunciation in open syllables. History The earliest know ...
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Puerperal Fever
The postpartum (or postnatal) period begins after childbirth and is typically considered to last for six to eight weeks. There are three distinct phases of the postnatal period; the acute phase, lasting for six to twelve hours after birth; the subacute phase, lasting six weeks; and the delayed phase, lasting up to six months. During the delayed phase, some changes to the genitourinary system take much longer to resolve and may result in conditions such as urinary incontinence. The World Health Organization (WHO) describes the postnatal period as the most critical and yet the most neglected phase in the lives of mothers and babies. Most maternal and newborn deaths occur during this period. In scientific literature, the term is commonly abbreviated to P''x'', where ''x'' is a number; for example, "day P5" should be read as "the fifth day after birth". This is not to be confused with the medical nomenclature that uses G P to stand for number and outcomes of pregnancy ( gravidit ...
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Mercury Bichloride
Mercury(II) chloride (mercury bichloride, mercury dichloride, mercuric chloride), historically also sulema or corrosive sublimate, is the inorganic chemical compound of mercury and chlorine with the formula HgCl2, used as a laboratory reagent. It is a white crystalline solid and a molecular compound that is very toxic to humans. Once used as a first line treatment for syphilis, it has been replaced by the more effective and less toxic procaine penicillin since at least 1948. Synthesis Mercuric chloride is obtained by the action of chlorine on mercury or on mercury(I) chloride. It can also be produced by the addition of hydrochloric acid to a hot, concentrated solution of mercury(I) compounds such as the nitrate: :Hg2(NO3)2 + 4 HCl → 2 HgCl2 + 2 H2O + 2 NO2 Heating a mixture of solid mercury(II) sulfate and sodium chloride also affords volatile HgCl2, which can be separated by sublimation. Properties Mercuric chloride is not a salt composed of discrete ions, but it is ...
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Potassium Permanganate
Potassium permanganate is an inorganic compound with the chemical formula KMnO4. It is a purplish-black crystalline salt, which dissolves in water as K+ and ions to give an intensely pink to purple solution. Potassium permanganate is widely used in the chemical industry and laboratories as a strong oxidizing agent, and also as a medication for dermatitis, for cleaning wounds, and general disinfection. It is commonly used as a biocide for water treatment purposes. It is on the World Health Organization's List of Essential Medicines. In 2000, worldwide production was estimated at 30,000 tons. Properties Potassium permanganate is the potassium salt of the tetrahedral transition metal oxo complex permanganate, in which four ligands are bound to a manganese(VII) center. Structure forms orthorhombic crystals with constants: ''a'' = 910.5  pm, ''b'' = 572.0 pm, ''c'' = 742.5 pm. The overall motif is similar to that for barium sulfate, with which it forms solid so ...
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Johns Hopkins Hospital
Johns Hopkins Hospital (JHH) is the teaching hospital and biomedical research facility of Johns Hopkins School of Medicine in Baltimore, Maryland. Founded in 1889, Johns Hopkins Hospital and its school of medicine are considered to be the founding institutions of modern American medicine and the birthplace of numerous famed medical traditions, including rounds, residents, and house staff. Several medical specialties were founded at the hospital, including neurosurgery by Harvey Cushing and Walter Dandy, cardiac surgery by Alfred Blalock and Vivien Thomas, and child psychiatry by Leo Kanner. Johns Hopkins Children's Center, which serves infants, children, teens, and young adults aged 0–21, is attached to the hospital. Johns Hopkins Hospital is widely regarded as one of the world's greatest hospitals and medical institutions. For 21 consecutive years from 1991 to 2020, it was ranked as the best overall hospital in the United States by ''U.S. News & World Report''. In its 2019–20 ...
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Scrubs (clothing)
Scrubs, sometimes called surgical scrubs or nursing scrubs, are the sanitary clothing worn by physicians, nurses, dentists and other workers involved in patient care. Originally designed for use by surgeons and other operating room personnel, who would put them on when sterilizing themselves, or "scrubbing in", before surgery, they are now worn by many hospital personnel. Their use has been extended outside hospitals as well, to work environments where clothing may come into contact with infectious agents (veterinarians, midwives, etc.). Scrubs are designed to be simple (with minimal places for contaminants to hide), easy to launder, and cheap to replace if damaged or stained irreparably. In the United Kingdom, scrubs are sometimes known as theatre blues. The spread of methicillin-resistant ''Staphylococcus aureus'' (MRSA) has increased the use of scrubs but can give wearers a false sense of security that they are "clean" when in fact they are as easily contaminated as any ...
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Tennis Shoes
Sneakers (American English, US) or trainers (British English, UK), also known by a #Names, wide variety of other names, are shoes primarily designed for sports or other forms of physical exercise, but are also widely used for everyday casual wear. They were popularized by companies such as Converse (shoe company), Converse, Nike, Inc., Nike and Spalding (company), Spalding in the mid 20th century. Like other parts of the global clothing industry, shoe manufacturing is heavily concentrated in Asia with nine in ten shoes produced there. Names Sneakers have gone by a variety of names, depending on geography and changing over the decades. The broader category inclusive of sneakers is athletic shoes. The term 'athletic shoes' is typically used for shoes utilized for jogging or road running and indoor sports such as basketball, but tends to exclude shoes for sports played on grass such as association football and rugby football, which are generally known in North America as "Cl ...
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William Stewart Halsted
William Stewart Halsted, M.D. (September 23, 1852 – September 7, 1922) was an American surgeon who emphasized strict aseptic technique during surgical procedures, was an early champion of newly discovered anesthetics, and introduced several new operations, including the radical mastectomy for breast cancer. Along with William Osler (Professor of Medicine), Howard Atwood Kelly (Professor of Gynecology) and William H. Welch (Professor of Pathology), Halsted was one of the "Big Four" founding professors at the Johns Hopkins Hospital. His operating room at Johns Hopkins Hospital is in Ward G, and was described as a small room where medical discoveries and miracles took place. According to an intern who once worked in Halsted's operating room, Halsted had unique techniques, operated on the patients with great confidence and often had perfect results which astonished the interns. Throughout his professional life, he was addicted to cocaine and later also to morphine, which w ...
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Autoclave
An autoclave is a machine used to carry out industrial and scientific processes requiring elevated temperature and pressure in relation to ambient pressure and/or temperature. Autoclaves are used before surgical procedures to perform sterilization and in the chemical industry to cure coatings and vulcanize rubber and for hydrothermal synthesis. Industrial autoclaves are used in industrial applications, especially in the manufacturing of composites. Many autoclaves are used to sterilize equipment and supplies by subjecting them to pressurized saturated steam at for 30–60 minutes at a gauge pressure of 103 kPa depending on the size of the load and the contents. The autoclave was invented by Charles Chamberland in 1879, although a precursor known as the steam digester was created by Denis Papin in 1679. The name comes from Greek ''auto-'', ultimately meaning self, and Latin ''clavis'' meaning key, thus a self-locking device. Uses Sterilization autoclaves are widely us ...
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Ernst Von Bergmann
Ernst Gustav Benjamin von Bergmann (16 December 1836 – 25 March 1907) was a Baltic German surgeon. He was the first physician to introduce heat sterilisation of surgical instruments and is known as a pioneer of aseptic surgery. Early life and education Born in Riga, Livonia Governorate (now Latvia), in 1860 he earned his doctorate at the University of Dorpat. He then worked as an assistant at the surgical clinic, and trained for surgery under Georg von Adelmann (his future father-in-law), and Georg von Oettingen. He received his certification in 1864. Career From 1871 to 1878 he was a professor of surgery at Dorpat. In 1878 he became a professor at Würzburg; in 1882 he relocated to the University of Berlin as a successor to Bernhard von Langenbeck. von Bergmann continued as a professor of surgery at Berlin for the remainder of his career. Two of his assistants in Berlin were Curt Schimmelbusch (1860–1895) and Friedrich Gustav von Bramann (1854–1913).
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Gustav Adolf Neuber
Gustav Adolf Neuber (24 June 1850 – 13 April 1932) was a German surgeon born in Tondern (today- Tønder. He studied medicine in several universities, receiving his doctorate in 1875 at the University of Giessen. Later he worked as an assistant to Friedrich von Esmarch (1823-1908) at the University Surgical Clinic in Kiel Kiel ( ; ) is the capital and most populous city in the northern Germany, German state of Schleswig-Holstein. With a population of around 250,000, it is Germany's largest city on the Baltic Sea. It is located on the Kieler Förde inlet of the Ba .... In 1884 he first proposed the use of separate operating rooms for septic and non-septic surgery, emphasizing the need for complete cleanliness in all aspects of surgery. In 1886, he opened his own private hospital on Königsweg in Kiel, where he implemented modern principles of asepsis. Neuber's clinic in Kiel is considered to be the first aseptic hospital in the world. In 1879 he developed a "decalcified ...
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Germ Theory Of Disease
The germ theory of disease is the currently accepted scientific theory for many diseases. It states that microorganisms known as pathogens or "germs" can cause disease. These small organisms, which are too small to be seen without magnification, invade animals, plants, and even bacteria. Their growth and reproduction within their hosts can cause disease. "Germ" refers not just to bacteria but to any type of microorganism, such as protists or fungi, or other pathogens, including parasites, viruses, prions, or viroids. Diseases caused by pathogens are called infectious diseases. Even when a pathogen is the principal cause of a disease, environmental and hereditary factors often influence the severity of the disease, and whether a potential host individual becomes infected when exposed to the pathogen. Pathogens are disease-causing agents that can pass from one individual to another, across multiple domains of life. Basic forms of germ theory were proposed by Girolamo Fracastoro ...
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