The Medical journal of Australia
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Excellent audit data from a major Australian teaching hospital reporting on the fit test results of their tested 2,161 healthcare workers across four different N95/P2 mask designs.
Why is this important?
Many healthcare workers and significantly, the general public, do not have access to formal Fit Testing (requires expertise, facilities & equipment). We also know that as face shape varies among individuals, so does the effectiveness of protection for different mask types – this is particularly significant for women who have more difficulty in finding suitably-fitting N95 respirators. (Notably 73% of Fit Tested staff in this study were women.)
The results of this study may allow individuals to make educated choices on suitable masks even when they do not have access to Fit Testing, as well as guiding institutional mask purchases.
What did they find?
Three-panel flat-fold N95 masks performed best (3M Aura 9320A+) both for fit test (96% pass) and wearer comfort and usability.
The other three tested designs were not as performant:
- Semi-rigid cup type (3M 1860 or 1860S): 65% FT pass.
- Duckbill type: (BSN ProShield or Halyard Fluidshield): 59% FT pass.
- Flat-fold cup type: (BYD Care DE2322): 32% FT pass.
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There has been a global increase in the burden of invasive infections in people who inject drugs (PWID). It is essential that patient-centred multidisciplinary care is provided in the management of these infections to engage PWID in care and deliver evidence-based management and preventive strategies. ⋯ These options include discharge with outpatient parenteral antimicrobial therapy, long-acting lipoglycopeptides (dalbavancin and oritavancin) and early oral antimicrobials. Open and respectful discussion with PWID including around harm reduction strategies may decrease the risk of repeat presentations with injecting-related harms.
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To describe smoking characteristics, quitting behaviour and other factors associated with longest quit attempt and the use of nicotine replacement therapy (NRT) and stop-smoking medication (SSM) in a population of Indigenous Australian women of reproductive age. ⋯ Aboriginal and Torres Strait Islander women want to quit smoking and are making attempts to quit. Quitting suddenly, rather than reducing cigarette consumption, is associated with increased sustained abstinence. Health providers can enable access and uptake of NRT and/or SSM and should recognise that NRT and/or SSM use may change over time. Consistent messaging, frequent offers of smoking cessation support, and access to a range of smoking cessation supports should be provided to Aboriginal and Torres Strait Islander women to enable them to be smoke-free.
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To identify smoking cessation support strategies that resonate with Aboriginal and Torres Strait Islander women. ⋯ Aboriginal and Torres Strait Islander women prefer a range of cessation supports, with most women preferring group support and holistic approaches. Cessation supports that resonated with women varied by age, remoteness, nicotine dependence, and whether participants used an Aboriginal health service. Women want support to quit smoking from the Aboriginal health workers at their Aboriginal health service, at their health care providers and in their community. Comprehensive, multifaceted supports are required. Online support and phone-based support are also preferred by some women, which helps to increase accessibility. Appropriate models of care - including sufficient funding for Aboriginal health services and Aboriginal health workers - are required and should be developed in partnership with communities to implement meaningful and culturally safe cessation care. This research demonstrates the need for and importance of multifaceted, comprehensive cessation support strategies.
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Observational Study
The incidence of falls after first and second eye cataract surgery: a longitudinal cohort study.
To compare fall incidence, and visual acuity and refractive status, before surgery and after first and second eye cataract surgery. ⋯ First eye surgery substantially improves vision in older people with cataract, but second eye surgery is required to minimise fall incidence. Timely cataract surgery for both eyes not only optimises vision in older people with cataract, but also reduces their risk of injury from falls.