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Needle-stick injury: a rising bio-hazard.

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TLDR
Dental practitioners were at high risk of getting Needle Stick Injuries in dental offices because there was lack of practice of universal precautions.
Abstract
Background: Needle stick injury has been identified as the foremost health allied concern and the specialty of dentistry is not an exception. Its incidence can be reduced when a dental practitioner is completely proverbial to the standard cross-infection control measures. This study was intended to assess the knowledge, attitude and practices among the dental practitioners regarding Needle Stick Injuries and associated risk factors. Methods: This survey was carried out in the Oral Surgery Department, Dr. Ishrat-ul-Ebad Khan Institute of Oral Health Sciences, Karachi. Dental practitioners of different job categories were conveniently approached by the BDS students. They all were provided with a structured and validated, self-administered questionnaire. Descriptive statistics and Chi-square test was applied with 5% level of significance. Results: All 100 (55 females and 45 males) practitioners agreed to participate in the study. Prevalence of Needle Stick Injury observed was 30% with no significant relationship with the demographic characteristics. Seventy-four percent of the participants were aware of the universal guidelines. Majority (88%) of the dental personnel believed that recapping of needles should be performed soon after use and 53% knew about needle-less safety devices. These injuries were experienced by 30% of the respondents, of which just 28% were reported. Conclusion: Dental practitioners were at high risk of getting Needle Stick Injuries in dental offices. Most of them had knowledge about it but there was lack of practice of universal precautions. Keywords: Needle Stick Injury, Blood Borne Diseases, Dental Practitioners, precaution, infection

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Citations
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Knowledge, attitude, and practice of needle stick and sharps injuries among dental professionals of Bangalore, India.

TL;DR: The knowledge of dental professionals on NSIs and their preventive measures are inadequate; however, training on Universal Precaution Guidelines, protocols regarding post-exposure prophylaxis, and safety devices has to be provided to prevent such injuries in future among the dental professionals.
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The Prevalence and Underreporting of Needlestick Injuries among Dental Healthcare Workers in Pakistan: A Systematic Review

TL;DR: There is a significantly high prevalence and a low rate of reporting of NSIs among dental-HCWs in Pakistan, suggesting the need to setup an occupational health department in dental settings, for preventing, managing, recording, and monitoring NSIs.
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The effect and evolution of patient selection on outcomes in endoscopic third ventriculostomy for hydrocephalus: A large-scale review of the literature.

TL;DR: Endoscopic third ventriculostomy (ETV) has become a popular technique for the treatment of hydrocephalus, but small sample size has limited the generalizability of prior studies and there was no overall change in ETV success rate over time.
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Prevalence of reported percutaneous injuries on dentists: A meta-analysis

TL;DR: A high PI prevalence among dentists was noticed, and most were caused by dental burs, implying that PIs should be considered by every dentist and proper measures instituted to reduce their prevalence.
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Role of endoscopic third ventriculostomy in tuberculous meningitis with hydrocephalus.

TL;DR: Endoscopic third ventriculostomy (ETV) as an alternative to shunt procedures is an established treatment for obstructive hydrocephalus in TBM and should be considered as treatment of choice in chronic phase of the disease in obstructive Hydrocephalus.
References
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Frequency of acute hepatitis C after needle stick injury and its treatment outcome.

TL;DR: Acute HCV is an uncommon disease to diagnose; it has favorable response to therapy if initiated early after a strict surveillance of patients for 8-16 weeks.
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The constant flow ventricular infusion test: a simple and useful study in the diagnosis of third ventriculostomy failure.

TL;DR: The VIT is a useful and safe adjunct to clinical and MR imaging evaluation when ETV failure is suspected and is evaluated for usefulness in determining whether a revision CSF diversion procedure was indicated in patients presenting with recurring symptoms and persisting ventriculomegaly after endoscopic third Ventriculostomy (ETV).
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Histological analysis of the third ventricle floor in hydrocephalic and nonhydrocephalic brains: application to neuroendocrine complications following third ventriculostomy procedures.

TL;DR: Although it was thinned in the hydrocephalic brains, the floor of the third ventricle had no significant difference between the numbers of neuronal cell bodies versus nonhydrocephalic heads, and this is most likely to be due to the injury of normal neurons found in this location, even in very thinned-out tissue.

Outcome of endoscopic third ventriculostomy in hydrocephalus

TL;DR: Hydrocephalus, Neuroendoscopy, Endoscopic third ventriculostomy, patients aged more than 2 years with hydrocephalus were included and success was defined with clinical improvement and radiological reduction in ventricular size.
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