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Reusch J, Wagenhäuser I, Gabel A, Höhn A, Lâm TT, Krone LB, Frey A, Schubert-Unkmeir A, Dölken L, Frantz S, Kurzai O, Vogel U, Krone M, Petri N. Inability to work following COVID-19 vaccination-a relevant aspect for future booster vaccinations. Public Health 2023; 222:186-195. [PMID: 37562083 DOI: 10.1016/j.puhe.2023.07.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2023] [Revised: 06/27/2023] [Accepted: 07/05/2023] [Indexed: 08/12/2023]
Abstract
OBJECTIVES COVID-19 vaccination is a key prevention strategy to reduce the spread and severity of SARS-CoV-2 infections. However, vaccine-related inability to work among healthcare workers (HCWs) could overstrain healthcare systems. STUDY DESIGN The study presented was conducted as part of the prospective CoVacSer cohort study. METHODS This study examined sick leave and intake of pro re nata medication after the first, second, and third COVID-19 vaccination in HCWs. Data were collected by using an electronic questionnaire. RESULTS Among 1704 HCWs enrolled, 595 (34.9%) HCWs were on sick leave following at least one COVID-19 vaccination, leading to a total number of 1550 sick days. Both the absolute sick days and the rate of HCWs on sick leave significantly increased with each subsequent vaccination. Comparing BNT162b2mRNA and mRNA-1273, the difference in sick leave was not significant after the second dose, but mRNA-1273 induced a significantly longer and more frequent sick leave after the third. CONCLUSION In the light of further COVID-19 infection waves and booster vaccinations, there is a risk of additional staff shortages due to postvaccination inability to work, which could negatively impact the already strained healthcare system and jeopardise patient care. These findings will aid further vaccination campaigns to minimise the impact of staff absences on the healthcare system.
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Affiliation(s)
- J Reusch
- Infection Control and Antimicrobial Stewardship Unit, University Hospital Wuerzburg, Wuerzburg, Germany; Department of Internal Medicine I, University Hospital Wuerzburg, Wuerzburg, Germany
| | - I Wagenhäuser
- Infection Control and Antimicrobial Stewardship Unit, University Hospital Wuerzburg, Wuerzburg, Germany; Department of Internal Medicine I, University Hospital Wuerzburg, Wuerzburg, Germany
| | - A Gabel
- Infection Control and Antimicrobial Stewardship Unit, University Hospital Wuerzburg, Wuerzburg, Germany
| | - A Höhn
- Infection Control and Antimicrobial Stewardship Unit, University Hospital Wuerzburg, Wuerzburg, Germany
| | - T-T Lâm
- Institute for Hygiene and Microbiology, University of Wuerzburg, Wuerzburg, Germany
| | - L B Krone
- Department of Physiology, Anatomy and Genetics, University of Oxford, Oxford, UK; University Hospital of Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland
| | - A Frey
- Department of Internal Medicine I, University Hospital Wuerzburg, Wuerzburg, Germany
| | - A Schubert-Unkmeir
- Institute for Hygiene and Microbiology, University of Wuerzburg, Wuerzburg, Germany
| | - L Dölken
- Institute for Virology and Immunobiology, University of Wuerzburg, Wuerzburg, Germany
| | - S Frantz
- Department of Internal Medicine I, University Hospital Wuerzburg, Wuerzburg, Germany
| | - O Kurzai
- Institute for Hygiene and Microbiology, University of Wuerzburg, Wuerzburg, Germany; Leibniz Institute for Natural Product Research and Infection Biology - Hans-Knoell-Institute, Jena, Germany
| | - U Vogel
- Infection Control and Antimicrobial Stewardship Unit, University Hospital Wuerzburg, Wuerzburg, Germany; Institute for Hygiene and Microbiology, University of Wuerzburg, Wuerzburg, Germany
| | - M Krone
- Infection Control and Antimicrobial Stewardship Unit, University Hospital Wuerzburg, Wuerzburg, Germany; Institute for Hygiene and Microbiology, University of Wuerzburg, Wuerzburg, Germany
| | - N Petri
- Department of Internal Medicine I, University Hospital Wuerzburg, Wuerzburg, Germany.
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Maniuc O, Fischer G, Petri N, Sakas G, Kolev V, Nordbeck P, Herrmann S, Frantz S, Voelker W. P3422High precision vessel access during transfemoral aortic valve implantation - a pilot study of puncture guidance using a new navigation technique. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy563.p3422] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- O Maniuc
- University Hospital of Wurzburg, Department of Internal Medicine I, Wurzburg, Germany
| | - G Fischer
- University Hospital of Wurzburg, Department of Internal Medicine I, Wurzburg, Germany
| | - N Petri
- University Hospital of Wurzburg, Department of Internal Medicine I, Wurzburg, Germany
| | | | | | - P Nordbeck
- University Hospital of Wurzburg, Department of Internal Medicine I, Wurzburg, Germany
| | - S Herrmann
- University Hospital of Wurzburg, Department of Internal Medicine I, Wurzburg, Germany
| | - S Frantz
- University Hospital of Wurzburg, Department of Internal Medicine I, Wurzburg, Germany
| | - W Voelker
- University Hospital of Wurzburg, Department of Internal Medicine I, Wurzburg, Germany
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Petri N, Ertel B, Gassenmaier T, Lengenfelder B, Bley T, Voelker W. P4321Blind pericardiocentesis: A comparison of different puncture techniques. Eur Heart J 2017. [DOI: 10.1093/eurheartj/ehx504.p4321] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Sonnesen L, Jensen KE, Petersson AR, Petri N, Berg S, Svanholt P. Cervical vertebral column morphology in patients with obstructive sleep apnoea assessed using lateral cephalograms and cone beam CT. A comparative study. Dentomaxillofac Radiol 2013; 42:20130060. [PMID: 23503808 DOI: 10.1259/dmfr.20130060] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
OBJECTIVES Few studies have described morphological deviations in obstructive sleep apnoea (OSA) patients on two-dimensional (2D) lateral cephalograms, and the reliability of 2D radiographs has been discussed. The objective is to describe the morphology of the cervical vertebral column on cone beam CT (CBCT) in adult patients with OSA and to compare 2D lateral cephalograms with three-dimensional (3D) CBCT images. METHODS For all 57 OSA patients, the cervical vertebral column morphology was evaluated on lateral cephalograms and CBCT images and compared according to fusion anomalies and posterior arch deficiency. RESULTS The CBCT assessment showed that 21.1% had fusion anomalies of the cervical column, i.e. fusion between two cervical vertebrae (10.5%), block fusions (8.8%) or occipitalization (1.8%). Posterior arch deficiency occurred in 14% as partial cleft of C1 and in 3.5% in combination with block fusions. The agreement between the occurrence of morphological deviations in the cervical vertebral column between lateral cephalograms and CBCT images showed good agreement (κ = 0.64). CONCLUSIONS Prevalence and pattern in the cervical column morphology have now been confirmed on CBCT. The occurrence of morphological deviations in the cervical vertebral column showed good agreement between lateral cephalograms and CBCT images. This indicates that 2D lateral cephalograms (already available after indication in connection with, e.g. treatment planning) are sufficient for identifying morphological deviations in the cervical vertebral column. For a more accurate diagnosis and location of the deviations, CBCT is required. New 3D methods will suggest a need for new detailed characterization and division of deviations in cervical vertebral column morphology.
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Affiliation(s)
- L Sonnesen
- Department of Orthodontics, Institute of Odontology, Faculty of Health Sciences, University of Copenhagen, Denmark.
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Petri N, Borga O, Nyberg L, Hedeland M, Bondesson U, Lennernas H. Effect of erythromycin on the absorption of fexofenadine in the jejunum, ileum and colon determined using local intubation in healthy volunteers. Int J Clin Pharmacol Ther 2006; 44:71-9. [PMID: 16502766 DOI: 10.5414/cpp44071] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
OBJECTIVE To investigate the in vivo intestinal absorption mechanism(s) and systemic availability of fexofenadine in the jejunum, ileum and colon in humans. METHOD A single dose of fexofenadine hydrochloride (60 mg as solution) was applied under fasting conditions, either alone or directly after a solution of erythromycin lactobionate (corresponding to a dose of 250 mg erythromycin), to the jejunum, ileum and colon in 6 healthy volunteers (3 male and 3 female) using a regional intubation dosing technology (Bioperm AB, Lund, Sweden). A total of 36 fexofenadine administrations were performed. The administration of fexofenadine to the specified location either alone or in combination with erythromycin was conducted in a randomized manner on 2 consecutive days with a 5-day washout period between doses. RESULTS The plasma AUC for fexofenadine (mean +/- SEM) was higher (2.7-to 2.3-fold, p < 0.001) after application to the jejunum (1090 +/- 134 h x ng/ml) than to the ileum (404 +/- 102 h x ng/ml) or colon (476 +/- 212 h x ng/ml). No significant differences were found between application to the ileum and colon. The administration of erythromycin affected the absorption rate after jejunal application with a prolonged tmax from a median of 40 min (range 10-90 min) to a median of 3 hours (range 10-180 min) (p = 0.009). A change in tmax was not observed with application to the ileum and colon. The concomitant administration of erythromycin in the jejunum tended to increase the plasma AUC of fexofenadine from 1090 +/- 134 to 1750 +/- 305 h x ng/ml (p = 0.069). CONCLUSIONS The systemic availability of fexofenadine was significantly higher after jejunal administration in accordance with a low permeability compound. The effects of erythromycin suggest that absorption of fexofenadine involves an uptake transport in addition to passive diffusion in the jejunum and predominantly passive diffusion in the ileum and colon.
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Affiliation(s)
- N Petri
- Department of Pharmacy, Biopharmaceutics Research Group Uppsala University, Uppsala, Sweden
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Mulić R, Ropac D, Petri N, Aljinović L, Gizdić Z. [Lyme borreliosis in Croatia from 1987 to 1998--epidemiologic aspects]. Lijec Vjesn 2000; 122:214-7. [PMID: 11210815] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/16/2023]
Abstract
Lyme borreliosis is one of the most common diseases originating from natural foci in the Republic of Croatia. Some 200 cases are reported every year to the Epidemiological Department of Croatian National Institute of Public Health, but data from hospital treatment and individual limited research show that the number of infected is certainly higher. Officially reported cases have been used and analysed in this article. Although, aware of the limits of such a source, the results gained with this analysis point to certain epidemiological characteristics of Lyme borreliosis in Croatia, which can be useful. Clinical manifestations might vary, depending on the part of the world, i.e. type of Borrelia involved. In Croatia, skin manifestations are predominant--erythema (chronicum) migrans. The disease generally does not occur in Southern Croatia; it has been only sporadically reported in the area south of Zadar. Although the tick, the vector of this disease, can be found everywhere in Croatia, data about vector species and their presence in the coastal area are not complete or they are missing. Therefore, additional entomological, epidemiological, and clinical research are necessary to clarify the absence of Lyme borreliosis in Southern Croatia.
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Affiliation(s)
- R Mulić
- Institut pomorske medicine HRM, p/o box 196, 21000 Split
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Kraljevic D, Druzijanic N, Tomic I, Juricic J, Petri N. Hyperbaric oxygenation as adjuvant therapy to surgery of emphysematous cholecystitis. Hepatogastroenterology 1999; 46:775-7. [PMID: 10370610] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/13/2023]
Abstract
Three cases of emphysematous cholecystitis are presented. The role of hyperbaric oxygenation as excellent adjuvant therapy to urgent surgical as well as intensive conservative treatment is emphasized.
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Affiliation(s)
- D Kraljevic
- Department of Abdominal Surgery, Clinical Hospital Split, Croatia
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Sapunar D, Vilovic K, Pintaric I, Vrdoljak E, Petri N, Saraga-Babic M. Effect of maternal hyperoxygenation on experimentally produced uteroplacental insufficiency in the rat. Reprod Fertil Dev 1996; 8:379-81. [PMID: 8795100 DOI: 10.1071/rd9960379] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023] Open
Abstract
The paper examines the effects of maternal hyperoxygenation on uteroplacental insufficiency produced by ligation of the uterine artery. Maternal hyperoxygenation did not significantly affect experimentally produced growth retardation or survival of the fetuses from the ligated horn. Analysis of the vascular anatomy revealed that additional oxygen improves the survival of fetuses compromised by uteroplacental insufficiency only in the presence of anastomosis between the uterine and ovarian arteries. The study demonstrated the importance of that anastomosis in evaluating the results obtained by this experimental model.
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Affiliation(s)
- D Sapunar
- Department of Histology and Embryology, University of Zagreb Medical School, KBC Firule, PAK, Split, Republic of Croatia
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Petri N, Suadicani P, Wildschiødtz G, Bjørn-Jørgensen J. Predictive value of Müller maneuver, cephalometry and clinical features for the outcome of uvulopalatopharyngoplasty. Evaluation of predictive factors using discriminant analysis in 30 sleep apnea patients. Acta Otolaryngol 1994; 114:565-71. [PMID: 7825443 DOI: 10.3109/00016489409126106] [Citation(s) in RCA: 94] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
The success rate of uvulopalatopharyngoplasty (UPPP) in the treatment of obstructive sleep apnea is generally only 50-60%. In order to improve this, various predictive factors for the outcome of UPPP were studied, including the Müller maneuver and cephalometry. Thirty unselected consecutive patients with obstructive sleep apnea (median apnea index (AI) 26 apneas/h, range 5-78) underwent UPPP with standard tonsillectomy except in the case of small tonsils and using CO2 laser for the palatal resection. Polysomnographic control 5 months after surgery showed that 63% of all patients had obtained a reduction in AI > or = 50% including an AI < 20 after surgery. Tonsillectomy had no influence on the outcome. Further, the Müller maneuver did not predict the outcome, whereas cephalometry proved to be of good predictive value. Lowered position of the hyoid bone, increased cranio-cervical angle and shortening of the maxilla length were significantly associated with poor results of UPPP, as were overweight, narrowing of the hypopharynx, the severity of sleep apnea, and hypersomnia. However, in a discriminant analysis containing all these variables, the three cephalometric measurements together with hypersomnia were most closely associated with the outcome of UPPP. A predictive model containing these four variables could correctly classify 83% of the patients in the present study. The model had a false positive rate of 7% in predicting a successful outcome. This indicates that cephalometry is mandatory in the selection of UPPP candidates and that a predictive model containing some or all of the four variables may substantially improve the success rate.
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Affiliation(s)
- N Petri
- ENT-Department, Roskilde County Hospital, Denmark
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Ovesen J, Nielsen PW, Clausen J, Petri N, Wildschiødtz G. Computerized apnea detection in ambulatory sleep recording with the Somnolog system. Acta Otolaryngol Suppl 1992; 492:113-4. [PMID: 1632232 DOI: 10.3109/00016489209136825] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
Apnea detection from a traditional polysomnographic sleep recording is tedious and time consuming. With a new portable device, the Somnolog, it is possible to make ambulatory sleep recording and apnea detection.
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Affiliation(s)
- J Ovesen
- Department of Otorhinolaryngology, Copenhagen County University Hospital, Glostrup, Denmark
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Abstract
Though a rare lesion a parathyroid cyst is of clinical significance because it usually mimics a thyroid cyst and can be associated with hyperparathyroidism. The cyst can be ectopic with location in the lateral neck or in the mediastinum and therefore constitutes a differential diagnosis to a branchial or thymic cyst. A case report of a mediastinal parathyroid cyst without hyperparathyroidism is presented. Fine needle aspiration with parathyroid hormone assay on the cyst fluid will reveal the correct diagnosis. Surgical removal of the cyst is recommended, and hyperparathyroidism should be considered.
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Affiliation(s)
- N Petri
- Dept of Otorhinolaryngology, Roskilde County Hospital, Denmark
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Petri N. [Cancer of the lip. Results of treatment and assessment of the surgical scar]. Ugeskr Laeger 1987; 149:1187-9. [PMID: 3603745] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
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Petri N. [Balloon dilatation of the esophagus. Experience with a new method]. Ugeskr Laeger 1985; 147:2599-602. [PMID: 4071690] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
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Fleig I, Petri N, Stocker WG, Thiess AM. Cytogenetic analyses of blood lymphocytes of workers exposed to formaldehyde in formaldehyde manufacturing and processing. J Occup Med 1982; 24:1009-12. [PMID: 7153801] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
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Goldmann P, Flach HD, Hey W, Hochadel H, Petri N, Strassburger KU, Thiess AM. [Formaldehyde morbidity study]. Zentralbl Arbeitsmed Arbeitsschutz Prophyl Ergonomie 1982; 32:250-8. [PMID: 7136327] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
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Ziegler M, Glemser O, Petri N. Photometrische Bestimmung des Eisens als Tributylammoniumhexarhodanoferrat(III) sowie als Tributylammoniumeisen(III)-ferronat. Angew Chem Int Ed Engl 1957. [DOI: 10.1002/ange.19570690505] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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