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Chang M, Kim Y. Effects of a mobile-based bioterrorism response program among clinical nurses: A quasi-experimental study. NURSE EDUCATION TODAY 2024; 134:106098. [PMID: 38266428 DOI: 10.1016/j.nedt.2024.106098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/14/2023] [Revised: 12/19/2023] [Accepted: 01/15/2024] [Indexed: 01/26/2024]
Abstract
BACKGROUND To respond to unstable international security and the outbreak of new infectious diseases, clinical nurses should be equipped with bioterrorism response competencies. OBJECTIVES This study developed a mobile-based bioterrorism response program for clinical nurses and examined its effectiveness on their knowledge of bioterrorism, attitude toward bioterrorism response, and bioterrorism response competencies. DESIGN A quasi-experimental study design was used. SETTING General or tertiary general hospitals in South Korea were considered. PARTICIPANTS Participants were 45 clinical nurses (23 in the experimental group and 22 in the control). METHODS The mobile-based bioterrorism response program was conducted over three weeks in 10 sessions (total of 300 min). The knowledge of bioterrorism, attitude toward bioterrorism response, and bioterrorism response competencies were compared between two groups using paired t-test, and Wilcoxon signed ranks test. Satisfaction with the program was measured in the experimental group. RESULTS Upon completion of the mobile-based bioterrorism response program, the experimental group showed significant increases in knowledge of bioterrorism, attitude toward bioterrorism response, and bioterrorism response competencies. CONCLUSIONS The mobile-based bioterrorism response program is expected to contribute to better preparedness for bioterrorism response systems in clinical practice. In addition, this program is expected to be of valuable use in bioterrorism education for nursing students as well as other healthcare professionals involved in bioterrorism response.
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Affiliation(s)
- Mingi Chang
- College of Nursing, Kyungpook National University, Republic of Korea
| | - Yujeong Kim
- College of Nursing, Research Institute of Nursing Innovation, Kyungpook National University, Republic of Korea.
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Li T, Zhang Y, Yao L, Bai S, Li N, Ren S. Knowledge, attitudes, and practices associated with bioterrorism preparedness in healthcare workers: a systematic review. Front Public Health 2023; 11:1272738. [PMID: 37869204 PMCID: PMC10587418 DOI: 10.3389/fpubh.2023.1272738] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2023] [Accepted: 09/25/2023] [Indexed: 10/24/2023] Open
Abstract
Introduction Bioterrorism is an important issue in the field of biosecurity, and effectively dealing with bioterrorism has become an urgent task worldwide. Healthcare workers are considered bioterrorism first responders, who shoulder essential responsibilities and must be equipped to deal with bioterrorism. This study aims to extract and summarize the main research components of the bioterrorism knowledge, attitude, and practice dimensions among healthcare workers. Method This study utilized a systematic review research design based on the PRISMA 2020 guidelines. A literature search was conducted in the PubMed, Web of Science, and Scopus databases for peer-reviewed literature, and the Mixed Methods Appraisal Tool (MMAT) version 2018 was used to assess the quality of the literature. Result A total of 16 studies were included in the final selection. Through the analysis and summary of the included studies, three main aspects and 14 subaspects of the knowledge dimension, three main aspects and 10 subaspects of the attitude dimension, and two main aspects and six subaspects of the practice dimension were extracted. Conclusion This study conducted a literature review on bioterrorism knowledge, attitudes, and practices for healthcare workers based on the PRISMA 2020 guidelines. The findings can guide improvements in health literacy and provide beneficial information to professional organizations that need to respond effectively to bioterrorism.
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Affiliation(s)
- Tiantian Li
- Institute of Disaster and Emergency Medicine, Tianjin University, Tianjin, China
| | - Yongzhong Zhang
- Epidemiology and Health Statistics, Institute of Disaster and Emergency Medicine, Tianjin University, Tianjin, China
| | - Lulu Yao
- Emergency Medicine, Institute of Disaster and Emergency Medicine, Tianjin University, Tianjin, China
| | - Song Bai
- Evaluation and Optimization of Health Emergency Response Capacity, SD, Institute of Disaster and Emergency Medicine, Tianjin University, Tianjin, China
| | - Nan Li
- School of Management and Economics, Tianjin University, Tianjin, China
| | - Shaotong Ren
- Institute of Disaster and Emergency Medicine, Tianjin University, Tianjin, China
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Bahanan L, Alsharif M, Al Qhtani O, Al Juhani A, Samman M. Dental Students' Perceptions Regarding Bioterrorism; a Cross-Sectional Study. ARCHIVES OF ACADEMIC EMERGENCY MEDICINE 2023; 11:e40. [PMID: 37609536 PMCID: PMC10440754 DOI: 10.22037/aaem.v11i1.2018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 08/24/2023]
Abstract
Introduction During the COVID-19 outbreak, dental professionals have demonstrated their importance in combating mass casualty incidents. This study aimed to understand dental students' perceptions of their potential roles in a bioterrorism attack. Methods This cross-sectional study used a self-administered anonymous questionnaire, which was sent to all dental students and interns at King Abdulaziz University, Saudi Arabia. Bivariate and multiple linear regression analyses were conducted to assess dental students' willingness to provide care during a bioterrorism attack, knowledge regarding bioterrorism and total number of roles a dentist should play during an attack. Results This study included 472 dental students and interns. The mean knowledge score regarding bioterrorism was 3.3 ± 1.9 out of 5. A large majority of the respondents (83.8%) were willing to provide care during a bioterrorism attack. Students with a cumulative grade point average (GPA) of 4.5-5 were more likely to indicate that a dental professional should take on more roles during a bioterrorism attack than those with a GPA of 2.5-2.99. Fourth- and fifth-year dental students had lower knowledge scores regarding bioterrorism than dental interns (B: -0.71; SE: 0.30; 95% CI: -1.3--0.1 and B: -0.68; SE: 0.30; 95% CI: -1.3- -0.1, respectively). Conclusion Despite the fact that dental curricula do not cover topics related to bioterrorism, most students would be willing to provide care under bioterrorism conditions. There is wide agreement among the students regarding the need to add bioterrorism-related educations to dental curricula.
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Affiliation(s)
- Lina Bahanan
- Department of Dental Public Health, King Abdulaziz University, Faculty of Dentistry, Jeddah, Saudi Arabia
| | - Maha Alsharif
- Department of Oral Diagnostic Sciences, King Abdulaziz University, Faculty of Dentistry, Jeddah, Saudi Arabia
| | - Omar Al Qhtani
- King Abdulaziz University, Faculty of Dentistry, Jeddah, Saudi Arabia
| | - Ahmad Al Juhani
- King Abdulaziz University, Faculty of Dentistry, Jeddah, Saudi Arabia
| | - Meyassara Samman
- Department of Dental Public Health, King Abdulaziz University, Faculty of Dentistry, Jeddah, Saudi Arabia
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Lee S, Kim Y. Predictors of bioterrorism preparedness among clinical nurses: A cross-sectional study. NURSE EDUCATION TODAY 2023; 122:105727. [PMID: 36706731 DOI: 10.1016/j.nedt.2023.105727] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/19/2022] [Revised: 12/26/2022] [Accepted: 01/18/2023] [Indexed: 06/18/2023]
Abstract
BACKGROUND Bioterrorism is terrorism that causes death, injury, or illness by the intentional release of viruses, bacteria, fungi, or toxins. Bioterrorism cannot be prevented; therefore, having the ability to recognize and respond to the consequences of infection caused by biological agents is imperative. This study aimed to examine the level of bioterrorism preparedness and identify the influencing factors of bioterrorism preparedness among nurses, who are early responders to bioterrorism. METHODS This study had a predictive correlational study design. It surveyed 245 clinical nurses currently working in general hospitals. We used a structured questionnaire consisting of items about general characteristics, knowledge about bioterrorism, awareness of bioterrorism risk, perception of institutional bioterrorism preparedness, attitude toward bioterrorism, and bioterrorism preparedness. The collected data were analyzed using descriptive statistics and by performing a t-test, chi-square test, analysis of variance, post-hoc test, correlational analysis, and regression analysis. RESULTS Bioterrorism preparedness was significantly positively correlated with the perception of institutional and frontline bioterrorism preparedness and attitude toward bioterrorism. It was also significantly influenced by sex, undergraduate bioterrorism education, employee bioterrorism education, perception of governmental bioterrorism preparedness, and attitude toward bioterrorism. The greatest predictors of bioterrorism preparedness were attitude toward bioterrorism, perception of institutional bioterrorism preparedness, and undergraduate bioterrorism education, which explained 39 % of the variance of bioterrorism preparedness. CONCLUSION This study found that clinical nurses' awareness and attitude toward bioterrorism are important factors in their bioterrorism preparedness and that attention to and education about bioterrorism are crucial to enhance clinical nurses' bioterrorism preparedness. Continued research is needed to establish a bioterrorism response system and relevant educational programs.
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Affiliation(s)
- Suhyun Lee
- College of Nursing, Kyungpook National University, Republic of Korea
| | - Yujeong Kim
- College of Nursing, Research Institute of Nursing Science, Kyungpook National University, Republic of Korea.
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Bajow N, Mortelmans LJM, Maghraby N, Alatef Sultan SA, Mani ZA, Aloraifi S. Disaster health education framework for short and intermediate training in Saudi Arabia: A scoping review. Front Public Health 2022; 10:932597. [PMID: 35968484 PMCID: PMC9372336 DOI: 10.3389/fpubh.2022.932597] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2022] [Accepted: 07/07/2022] [Indexed: 11/16/2022] Open
Abstract
Background Saudi Arabia has made extensive efforts to manage disasters using unique national approaches; however, challenges and obstacles concerning disaster health handling persist. The nation has a reactive strategy to disaster management with a need for increased involvement of health professionals in disaster management and improvement of healthcare facilities emergency preparedness including competency-based education training. Objective A comprehensive and consistent approach of disaster education programs for short and intermediate training of health professionals involved in disaster responses in Saudi Arabia is still not evident. Therefore, it is vital to explore and map the current state of the disaster education framework in Saudi Arabia. Methods The Joanna Briggs Institute approach for scoping reviews was used to assess research articles and preprints between January 2000 and September 2021 from Saudi Digital Library; PubMed, CINAHL, and Google Scholar. Five experts identified key aspects of the disaster education approach and eligibility criteria to facilitate identification of relevant articles. Results Only five articles met the specified criteria and described two short and three intermediate courses on disaster health management in Saudi Arabia. All courses involved competency-specific training aimed at basic or foundational level and involved a range of activities and learning types. None had refresher courses within 12 months. Conclusion The review highlights the obvious scarcity of short and intermediate term evidence-based disaster health programs in Saudi Arabia. Adoption of the education framework proposed by the authors based on international frameworks could improve the quality and consistency of the disaster education curriculum in Saudi Arabia.
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Affiliation(s)
- Nidaa Bajow
- Unit of Disaster Medicine, Emergency Department, Security Force Hospital Programs, Riyadh, Saudi Arabia
- *Correspondence: Nidaa Bajow
| | - Luc J. M. Mortelmans
- Department of Emergency Medicine, Ziekenhuisnetwerk Antwerpen (ZNA) Camp Stuivenberg, Center for Research and Education in Emergency Care (CREEC) Univ Louvain Belgium and Regedim Free University, Brussels, Belgium
| | - Nisreen Maghraby
- Emergency Medicine Department, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | | | - Zakaria A. Mani
- School of Nursing and Midwifery, Monash University, Frankston, VIC, Australia
- College of Nursing, Jazan University, Jazan, Saudi Arabia
| | - Samer Aloraifi
- Surgery Department, Doctor Sulaiman Alhabib Ar Rayyan Hospital, Riyadh, Saudi Arabia
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Schumacher L, Senhaji S, Gartner BA, Carrez L, Dupuis A, Bonnabry P, Widmer N. Full-scale simulations to improve disaster preparedness in hospital pharmacies. BMC Health Serv Res 2022; 22:853. [PMID: 35780151 PMCID: PMC9250711 DOI: 10.1186/s12913-022-08230-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2021] [Accepted: 06/20/2022] [Indexed: 11/18/2022] Open
Abstract
Purpose Assess whether full-scale simulation exercises improved hospital pharmacies’ disaster preparedness. Methods Swiss hospital pharmacies performed successive full-scale simulation exercises at least four months apart. An interprofessional team created two scenarios, each representing credible regional-scale disasters involving approximately fifty casualties (a major road accident and a terrorist attack). Four exercise assessors used appraisal forms to evaluate participants’ actions and responses during the simulation (rating them using five-point Likert scales). Results Four hospital pharmacies performed two full-scale simulation exercises each. Differences between exercises one and two were observed. On average, the four hospitals accomplished 69% ± 6% of the actions expected of them during exercise one. The mean rate of expected actions accomplished increased to 84% ± 7% (p < 0.005) during exercise two. Moreover, the average quality of actions improved from 3.0/5 to 3.6/5 (p = 0.01), and the time required to gather a crisis management team drastically decreased between simulations (from 23 to 5 min). The main challenges were communication (reformulation) and crisis management. Simulation exercise number one resulted in three hospital pharmacies creating disaster action plans and the fourth improving its already existing plan. Conclusion This study highlighted the value of carrying out full-scale disaster simulations for hospital pharmacies as they improved overall institutional preparedness and increased staff awareness. The number of expected actions accomplished increased significantly. In the future, large-scale studies and concept dissemination are warranted.
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Affiliation(s)
- Laurence Schumacher
- Specialised Centre for Emergency and Disaster Pharmacy, Institute of Pharmaceutical Sciences of Western Switzerland, School of Pharmaceutical Sciences, University of Geneva, Geneva, Switzerland.,Pharmacy of the Eastern Vaud Hospitals, Rennaz, Switzerland
| | - Salim Senhaji
- Pharmacy, Geneva University Hospitals, Geneva, Switzerland
| | | | - Laurent Carrez
- Service of Pharmacy, Lausanne University Hospital, Lausanne, Switzerland
| | - Arnaud Dupuis
- Surgery Department, Geneva University Hospitals, Geneva, Switzerland.,Specialised Centre for War and Disaster Surgery, Geneva University Hospitals, Geneva, Switzerland
| | - Pascal Bonnabry
- Specialised Centre for Emergency and Disaster Pharmacy, Institute of Pharmaceutical Sciences of Western Switzerland, School of Pharmaceutical Sciences, University of Geneva, Geneva, Switzerland.,Pharmacy, Geneva University Hospitals, Geneva, Switzerland
| | - Nicolas Widmer
- Specialised Centre for Emergency and Disaster Pharmacy, Institute of Pharmaceutical Sciences of Western Switzerland, School of Pharmaceutical Sciences, University of Geneva, Geneva, Switzerland. .,Pharmacy of the Eastern Vaud Hospitals, Rennaz, Switzerland.
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Ghahremani M, Rooddehghan Z, Varaei S, Haghani S. Knowledge and practice of nursing students regarding bioterrorism and emergency preparedness: comparison of the effects of simulations and workshop. BMC Nurs 2022; 21:152. [PMID: 35701749 PMCID: PMC9195329 DOI: 10.1186/s12912-022-00917-y] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2021] [Accepted: 05/24/2022] [Indexed: 11/25/2022] Open
Abstract
Background and purpose Bioterrorism is a global threat. Nurses are one of the first groups that should be ready for it. College years are the best time to educate these issues. This study aimed to compare the effectiveness of simulation and workshop on knowledge and practice of nursing students regarding bioterrorism. Materials and methods This was an experimental study. The study sample consisted of 40 last-year nursing students who were randomly assigned to two groups by using random numbers table. Data was collected using a demographic questionnaire, bioterrorism knowledge scale, and an OSCE checklist. Before the intervention, the students completed the study questionnaires and a six-station OSCE test. The workshop group (20 students) learned how to deal with bioterrorism through lectures. The simulation group (20 students) participated in a simulation learning program. After one month, the students completed the study tools again. Finally, collected data were analyzed using descriptive and inferential statistics in SPSS V.16. Results The difference between the knowledge and performance scores of both groups (workshop and simulation), before and after the intervention, was statistically significant (P < 0.001). Students in both groups had higher knowledge and performance scores after the intervention. The simulation group scores were higher than the workshop group scores in the knowledge and the most of performance domains. Conclusion The simulation group had better results in terms of enhancing knowledge, preparedness, disaster triage, reporting, incident management, communication, mental disorders, and isolation domains compared to the workshop group. Supplementary Information The online version contains supplementary material available at 10.1186/s12912-022-00917-y.
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Affiliation(s)
- Mahsa Ghahremani
- School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
| | - Zahra Rooddehghan
- School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
| | - Shokouh Varaei
- School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
| | - Shima Haghani
- School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
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Iqbal U, Perez P, Barthelemy J. A process-driven and need-oriented framework for review of technological contributions to disaster management. Heliyon 2021; 7:e08405. [PMID: 34841111 PMCID: PMC8605362 DOI: 10.1016/j.heliyon.2021.e08405] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2021] [Revised: 08/26/2021] [Accepted: 11/11/2021] [Indexed: 02/01/2023] Open
Abstract
An escalation in the frequency and intensity of natural disasters is observed over the last decade, forcing the community to develop innovative technological solutions to reduce disaster impact. The multidisciplinary nature of disaster management suggests the collaboration between different disciplines for an efficient outcome; however, any such collaborative framework is found lacking in the literature. A common taxonomy and interpretation of disaster management related constraints are critical to develop efficient technological solutions. This article proposes a process-driven and need-oriented framework to facilitate the review of technology based contributions in disaster management. The proposed framework aims to bring technological contributions and disaster management activities in a single frame to better classify and analyse the literature. A systematic review of benchmark disruptive technology based contributions to disaster management has been performed using the proposed framework. Furthermore, a set of basic requirements and constraints at each phase of a disaster management process have been proposed and cited literature has been analysed to highlight corresponding trends. Finally, the scope of computer vision in disaster management is explored and potential activities where computer vision can be used in the future are highlighted.
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Affiliation(s)
- Umair Iqbal
- SMART Infrastructure Facility, University of Wollongong, Australia
| | - Pascal Perez
- SMART Infrastructure Facility, University of Wollongong, Australia
| | - Johan Barthelemy
- SMART Infrastructure Facility, University of Wollongong, Australia
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Bouillon-Minois JB, Roux V, Pereira B, Flannery M, Pelissier C, Occelli C, Schmidt J, Navel V, Dutheil F. Stress among Emergency Health Care Workers on Nuclear or Radiation Disaster: A Preliminary State Survey. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18168384. [PMID: 34444134 PMCID: PMC8393601 DOI: 10.3390/ijerph18168384] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/13/2021] [Revised: 08/02/2021] [Accepted: 08/05/2021] [Indexed: 11/16/2022]
Abstract
BACKGROUND The nuclear or radiation disaster risk within the French Auvergne-Rhone-Alpes state is low (but not absent) due to its proximity to four Nuclear Power Generation Centers and two regional cancer control centers. This study aims to compare subjective stress ratings for emergency health care workers regarding nuclear and radiation disasters between two locations: at work versus at home. MATERIALS AND METHODS We distributed an anonymous online questionnaire via RedCap® to all emergency health care workers who could be involved in patient care after a nuclear or radiation disaster. It comprised 18 questions divided into three parts-theoretical knowledge and practical assessment, stress assessment, and sociodemographic criteria. RESULTS We analyzed 107 responses. There was a significant 11-point increase in stress levels between work and home regarding nuclear or radiation disaster risks (p = 0.01). Less than 25% of emergency health care workers surveyed benefited from annual training. CONCLUSION The stress levels of emergency health care workers regarding nuclear or radiation disaster were higher at work than at home and increased without annual training. It is important to increase knowledge about these protocols and to mandate yearly training for all workers potentially involved in these disasters.
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Affiliation(s)
- Jean-Baptiste Bouillon-Minois
- Emergency Department, CHU Clermont-Ferrand, 63000 Clermont-Ferrand, France;
- Correspondence: ; Tel.: +33-6-74-36-04-23; Fax: +33-4-73-27-46-49
| | - Vincent Roux
- CNRS, LaPSCo, Université Clermont Auvergne, Physiological and Psychosocial Stress, 63000 Clermont-Ferrand, France; (V.R.); (F.D.)
| | - Bruno Pereira
- Clinical Research and Innovation Direction, CHU Clermont-Ferrand, 63000 Clermont-Ferrand, France;
| | - Mara Flannery
- Ronald O. Perelman Department of Emergency Medicine, NYU School of Medicine, New York University Langone Health, New York, NY 10016, USA;
| | - Carole Pelissier
- Service de Santé au Travail, CHU de Saint-Étienne, Saint-Étienne, France. Univ Lyon 1, Univ St Etienne, 42005 Saint-Étienne, France;
| | - Céline Occelli
- CHU Nice, Emergency Department, Université Côte d’Azur, 06000 Nice, France;
| | - Jeannot Schmidt
- Emergency Department, CHU Clermont-Ferrand, 63000 Clermont-Ferrand, France;
| | - Valentin Navel
- Translational Approach to Epithelial Injury and Repair, Université Clermont Auvergne, CHU Clermont-Ferrand, CNRS, INSERM, GReD., 63000 Clermont-Ferrand, France;
- Ophthalmology, CHU Clermont-Ferrand, 63000 Clermont-Ferrand, France
| | - Frédéric Dutheil
- CNRS, LaPSCo, Université Clermont Auvergne, Physiological and Psychosocial Stress, 63000 Clermont-Ferrand, France; (V.R.); (F.D.)
- Occupational and Environmental Medicine, CHU Clermont-Ferrand, WittyFit, 63000 Clermont-Ferrand, France
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