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In keeping with current recommendations regarding reliable HAND diagnosis [ 10], we propose that a key factor for optimal HAND screen validation is the comparison to a gold standard comprehensive neuropsychological battery.
Therefore, it is crucial to help medical staff and healthcare workers acquiring the skills necessary for optimal hand hygiene (HH) in order to ensure quality of care and patient safety.
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For optimal hand-washing, first wet your hands under running water, then apply soap.
Thus, a product that is pleasant to use with no harmful effect to the hands is a major asset for the promotion of optimal hand hygiene practices.
To optimize prevention, it is now accepted that the "bundle" concept should be implemented, including five simple interventions supported by strong scientific evidence for effectiveness: optimal hand hygiene, chlorhexidine skin antisepsis, maximal barrier precautions for CVC insertion, use of optimal insertion sites, and prompt catheter removal [ 17].
Environmental exposure to S. aureus, particularly in health care setting when patients are at increased risk for infections, can be minimized through optimal hand hygiene and antisepsis.
Easy access to hand hygiene supplies, whether sink, soap, medicated detergent, or alcohol-based hand-rub solution, is essential for optimal adherence to hand hygiene recommendations.
An alternative way of introducing a patient focus into hand hygiene campaigns that was recommended by senior clinical managers, was using local patient case studies in education or ward rounds to vividly illustrate the consequences for patients of sub-optimal hand hygiene practice.
Use mousse or gel for optimal hold.
As has been shown for lower extremity, trunk, and shoulder function, a balance between flexor and extensor muscle activation may be essential for optimal function in the hand and forearm [ 11, 12].
On the one hand this poses challenges for optimal functioning in adolescents, but on the other hand it provides great opportunities for mental health promotion.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com