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During daily oral health care, dental surgeons are in contact with numerous potentially infectious germs from patients’ saliva and blood. Appropriate personal protection equipment should be chosen to mitigate these risks, but the garment must also be comfortable and not hamper activities. This paper presents our research work on optimised working clothing for dentists and discusses some important points in the functional design. Following a consumer study on how users wear the garment and what are their expectations, three main functions were investigated: protection, ergonomics and thermal comfort. Aesthetic appearance was also taken into consideration as it is necessary that the wearer should feel appropriately and attractively dressed in the context of health care. Concerning protection, spray tests in real conditions helped us to localise the potential contamination areas on the garment and led us to select a three-layered material that is protective and breathable enough. However, this part of the garments made from these fabrics exhibited low thermal comfort and the wearer felt some discomfort. In terms of ergonomics, instrumented garments were worn and pressure measurements were taken. The results highlight that a special shape and raglan sleeves should be selected for a better dynamic comfort. Concerning thermal comfort, an infrared camera was used to detect warm zones of the garment where heat and moisture transfers should be enhanced. Breathable, stretchable and shape-retaining knitted fabric that is usually used for sportswear was selected. These fabrics were strategically placed as low and high vents to promote a chimney effect, which minimises retention of heat and humidity inside the garment. The usual PES/cotton fabric was selected for the rest of the gown. Based on these results, a new gown has been proposed. Through fitting tests conducted in a hospital on 25 dentists, it was revealed that the new design was highly appreciated, particularly on the ergonomic structure of the sleeves and thermal comfort of breathable zones. However, some points can be further improved, such as durability of the PES/cotton fabric, the neck length or the shape of ‘breathable zones’. The final product will be produced based on necessary improvements.
Czasopismo
Rocznik
Tom
Strony
280--287
Opis fizyczny
Bibliogr. 23 poz.
Twórcy
autor
- Laboratory of Textile Physics and Mechanics, University of Haute Alsace, France
autor
- Faculty of Dental Surgery, University of Strasbourg, France
autor
- Laboratory of Textile Physics and Mechanics, University of Haute Alsace, France
autor
- Laboratory of Textile Physics and Mechanics, University of Haute Alsace, France
autor
- Faculty of Dental Surgery, University of Strasbourg, France
Bibliografia
- [1] Centers for Disease Control and Prevention (CDC) (2003), Guidelines for Infection Control in Dental Health-Care Settings, December 19, 2003 / 52(RR17);1-61.
- [2] Harrel SK, Molinari J. Aerosols and splatter in dentistry: a brief review of the literature and infection control implications. J Am Dent Assoc. Apr 2004;135(4):429-37.
- [3] Leggat PA, Kedjarune U. Bacterial aerosols in the dental clinic: a review. Int Dent J. 2001 Feb;51(1):39-44.
- [4] Al Maghlouth A1, Al Yousef Y, Al Bagieh N J Qualitative and quantitative analysis of bacterial aerosols. Contemp Dent Pract. Nov 15, 2004; 5(4):91-100.
- [5] Schacher M, Haïkel Y, Berger S, Schacher L, Adolphe DC. Improvement of dentist gowns - new constraints and new risks. Int J Cloth Sci Technol, juin 12, 2009;21(4):180-192.
- [6] European Standard EN 13795:2011, Surgical drapes, gowns and clean air suits, used as medical devices for patients, clinical staff and equipment - General requirements for manufacturers, processors and products, test methods, performance requirements and performance levels.
- [7] Abreu, M.J., Silva, M.E., Schacher, L., Adolphe, D. (2003). Designing surgical clothing and drapes according to the new technical standards. International Journal of Clothing Science and Technology, Vol.15, No.1, 2003, 69 -74.
- [8] Eurostat - Health care staff - Dentists. Retrieved Nov 19, 2014. Web site: http://epp.eurostat.ec.europa.eu/cache/ITY_SDDS/Annexes/hlth_res_esms_an3.pdf
- [9] Barghout, N., Al Habashneh, R., Ryalat, S.T., Asa’ad, F.A., Marashdeh, M. (2012). Patients’ perception of crossinfection prevention in dentistry in Jordan. Oral Health Prev Dent, 2012;10(1):9-16.
- [10] Jagger, D.C., Huggett, R., Harrison, A. (1995). Crossinfection control in dental laboratories. Brazilian Dental Journal. 1995 Aug 5;179(3):93-6.
- [11] Puttaiah, R., Miller, K., Bedi, D.R., Shetty, S., Almas, K., Tse, E., Kim, B.O., Youngblood, D., Minquan, D. Comparison of knowledge, attitudes and practice of dental safety from eight countries at the turn of the century. J Contemp Dent Pract, 2011 Jan 1;12(1):1-7.
- [12] Cristina, M.L., Spagnolo, A.M., Sartini, M., Dallera, M., Ottria, G., Perdelli, F., Orlando, P. Investigation of organizational and hygiene features in dentistry: a pilot study. J Prev Med Hyg. 2009 Sep;50(3):175-80.
- [13] Podpovitny, M., Schacher, L., Geršak, L., Adolphe, D.C. (2011). Development of a new protective gown for dentist, Textile Journal Tekstil, Vol. 60, br. 9, Croatia; 2011;493-497.
- [14] Schacher M, Haïkel Y, Berger S, Schacher L, Adolphe DC. Improvement of dentist gowns - new constraints and new risks. Int J Cloth Sci Technol, juin 12, 2009;21(4):180-192.
- [15] Song , G. Improving Comfort in Clothing. Published January 2011. Imprint: Woodhead Publishing
- [16] Scott, R. A. Textiles for Protection. Ist published 2005. Whoodhead Publishing Limited In association with the Textile Institute.
- [17] Wang, F., Gao, C. Protective Clothing: Managing Thermal Stress. Edited by. Published on January 2011. Imprint: Woodhead Publishing in association with theTextile Institute.
- [18] Havenith, G., Coenen, J.M.L, Kistemaker, L., Kenney, W.L. (1998). Relevance of individual characteristics for human heat stress response is dependent on exercise intensity and climate type. European Journal of Applied Physiology, Feb 1,1998; 77(3):231-241.
- [19] ThermaCAM™ SC 3000 for thermo-dynamic research, Flir company. Retrieved 14 July, 2013. Web site: http://www.flir.com/cs/emea/en/view/?id=42882
- [20] The A401 FlexiForce sensor, company Tekscan, Retrieved 14 July, 2013. Web site: http://www.tekscan.com/a401-force-sensor.
- [21] ISO 10551:1995 - Ergonomie des ambiances thermiques - Évaluation de l’influence des ambiances thermiques à l’aide d’échelles de jugements subjectifs. Retrieved 2 juin 2013. Website: http://www.iso.org/iso/fr/home/store/catalogue_tc/catalogue_detail.htm?csnumber=18636.
- [22] ISO 7730:2005 - Ergonomics of the thermal environment -- Analytical determination and interpretation of thermal comfort using calculation of the PMV and PPD indices and local thermal comfort criteria. Retrieved 2 juin 2013]. Website: http://www.iso.org/iso/fr/catalogue_detail.htm?csnumber=39155
- [23] Guimond, S., Hanselmann, B., Amberg, M., Hegemann, D. (2010). Plasma functionalization of textiles: Specifics and possibilities. Pure and Applied Chemistry. Volume 82, Issue 6, 1239-1245.
Typ dokumentu
Bibliografia
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