1
|
Ollé-Espluga L, Payá Castiblanque R, Llorens-Serrano C, Esteve-Matalí L, Navarro-Giné A. Protective action in the workplace in the time of COVID-19: The role of worker representation. Am J Ind Med 2024; 67:453-465. [PMID: 38453150 DOI: 10.1002/ajim.23578] [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: 10/25/2023] [Revised: 01/25/2024] [Accepted: 02/19/2024] [Indexed: 03/09/2024]
Abstract
BACKGROUND This study addresses the contribution of worker representation to health and safety in the pandemic context. To do so, we examine whether the self-reported presence of representatives in workplaces is associated with the implementation of anti-COVID-19 protective action and with which type of measures their existence is most strongly associated (individual, collective or organizational). The article also explores how the presence of worker representatives and anti-COVID-19 protective measures are distributed according to workers' socio-professional characteristics and company features. METHODS This is a cross-sectional study based on an online survey conducted in Spain (n = 19,452 workers). Multiple Correspondence Analysis was used for the multivariate description while the association between worker representation and protective measures was assessed by robust Poisson regressions. RESULTS The maps resulting from the Multiple Correspondence Analysis allow for the identification of patterns of inequalities in protection, with a clear occupational social class divide. The regression models show that protective measures are applied more frequently where worker representatives exist, this association being particularly strong in relation to organizational measures. CONCLUSIONS The presence of worker representation is systematically associated with a greater presence of protective measures, which could have implications for the reduction of social inequalities resulting from labor-management practices.
Collapse
Affiliation(s)
- Laia Ollé-Espluga
- Research Group on Psychosocial Risks, Organization of Work and Health (POWAH), Universitat Autònoma de Barcelona (UAB), Cerdanyola del Vallès, Spain
| | - Raúl Payá Castiblanque
- Department of Sociology and Social Anthropology, University of Valencia, Valencia, Spain
| | - Clara Llorens-Serrano
- Research Group on Psychosocial Risks, Organization of Work and Health (POWAH), Universitat Autònoma de Barcelona (UAB), Cerdanyola del Vallès, Spain
- Union Institute of Work, Environment and Health (ISTAS-F1M), Reference Centre on Work Organization and Health, Fundación 1° de Mayo, Barcelona, Spain
- Sociology Department, Faculty of Sociology and Political Sciences, Universitat Autònoma de Barcelona (UAB), Cerdanyola del Vallès, Spain
- Institute for Labour Studies, Universitat Autònoma de Barcelona (UAB), Cerdanyola del Vallès, Spain
| | - Laura Esteve-Matalí
- Research Group on Psychosocial Risks, Organization of Work and Health (POWAH), Universitat Autònoma de Barcelona (UAB), Cerdanyola del Vallès, Spain
- Institute for Labour Studies, Universitat Autònoma de Barcelona (UAB), Cerdanyola del Vallès, Spain
| | - Albert Navarro-Giné
- Research Group on Psychosocial Risks, Organization of Work and Health (POWAH), Universitat Autònoma de Barcelona (UAB), Cerdanyola del Vallès, Spain
- Institute for Labour Studies, Universitat Autònoma de Barcelona (UAB), Cerdanyola del Vallès, Spain
- Biostatistics Unit, Universitat Autònoma de Barcelona (UAB), Cerdanyola del Vallès, Spain
| |
Collapse
|
2
|
Steinberg N, Batistella EA, Iyer S, Madathil SA, Allison P, Brondani M, Glogauer M, Levin L. The dental COVID-19 paradox: Disparity in behaviors inside and outside dental schools in Canada. J Dent Educ 2024. [PMID: 38558231 DOI: 10.1002/jdd.13527] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2023] [Accepted: 03/03/2024] [Indexed: 04/04/2024]
Abstract
OBJECTIVE To describe the personal and professional behavior and assess the perceptions of protection and fear of contracting coronavirus disease 2019 (COVID-19) among faculty, staff, and students from all 10 Canadian dental schools during the second year of the pandemic. METHOD Participants from a Pan-Canadian prospective study answered monthly questionnaires about their activities between April 2021 and March 2022. In May 2022, additional questions were asked about their perception of protection, fear of infection, and instances of COVID-19 testing. RESULTS Six hundred participants were initially recruited. Over time, the participants spent less time at home and increased their participation in indoor social activities, a trend influenced by the fluctuations in COVID-19 cases (β = ‒0.02). Over 90% of the participants were fully vaccinated, which decreased their fear of contracting the virus (χ2[4, 241‒243] = 196.07, p < 0.0001). Yet, their attitude toward protective measures did not change, and they followed them within school. CONCLUSIONS This work shows a paradoxical behavior among dental students, staff, and faculty members in Canadian dental schools. While factors such as the vaccine's limited efficacy and a desire to protect others may contribute to stringent protective behaviors within dental schools, the mandatory nature of these measures was likely the primary motivator for the compliance. Despite potential efforts to minimize exposure to the virus during risk periods and the frequent COVID-19 testing, this paradoxical behavior raises questions about professional responsibilities extending beyond the workplace. Thus, dental schools should incorporate education about the rationale behind following different protocols and the potential consequences of outside school behaviors.
Collapse
Affiliation(s)
- Noam Steinberg
- Department of Pharmacology, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada
| | | | - Srimathi Iyer
- Faculty of Dental Medicine and Oral Health Sciences, McGill University, Montreal, Quebec, Canada
| | | | - Paul Allison
- Faculty of Dental Medicine and Oral Health Sciences, McGill University, Montreal, Quebec, Canada
| | - Mario Brondani
- Faculty of Dentistry, University of British Columbia, Vancouver, British Columbia, Canada
| | - Michael Glogauer
- Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada
- Department of Dental Oncology, Princess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada
| | - Liran Levin
- Faculty of Medicine and Dentistry, School of Dentistry, University of Alberta, Edmonton, Alberta, Canada
| |
Collapse
|
3
|
Greindl S, Di Gangi S, Plate A, Senn O, Neuner-Jehle S. Perceived dilemma between protective measures and social isolation in nursing homes during the COVID-19 pandemic: a mixed methods study among Swiss nursing home directors. Front Public Health 2024; 12:1292379. [PMID: 38528858 PMCID: PMC10962325 DOI: 10.3389/fpubh.2024.1292379] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2023] [Accepted: 01/18/2024] [Indexed: 03/27/2024] Open
Abstract
Background Coronavirus pandemic (COVID-19) particularly affected older adults, with the highest risks for nursing home residents. Stringent governmental protective measures for nursing homes unintendedly led to social isolation of residents. Nursing home directors (NDs) found themselves in a dilemma between implementing protective measures and preventing the social isolation of nursing home residents. Objectives The objectives of this study were to describe protective measures implemented, to investigate NDs' perception of social isolation and its burden for nursing home residents due to these measures, and to explore experiences of NDs in the context of the dilemma. Methods Cross-sectional embedded mixed-method study carried out by an online survey between April 27 and June 09, 2022, among NDs in the German-speaking part of Switzerland. The survey consisted of 84 closed-ended and nine open-ended questions. Quantitative findings were analyzed with descriptive statistics and qualitative data were evaluated using content analysis. Results The survey was completed by 398 NDs (62.8% female, mean age 55 [48-58] years) out of 1'044 NDs invited.NDs were highly aware of the dilemma. The measures perceived as the most troublesome were restrictions to leave rooms, wards or the home, restrictions for visitors, and reduced group activities. NDs and their teams developed a variety of strategies to cope with the dilemma, but were burdened themselves by the dilemma. Conclusion As NDs were burdened themselves by the responsibility of how to deal best with the dilemma between protective measures and social isolation, supportive strategies for NDs are needed.
Collapse
|
4
|
Tsakiris P, Damalas CA, Koutroubas SD. Safety behavior in pesticide use among farmers of northern Greece: the role of information sources. Pest Manag Sci 2023; 79:4335-4342. [PMID: 37380619 DOI: 10.1002/ps.7632] [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] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/31/2023] [Revised: 03/23/2023] [Accepted: 06/29/2023] [Indexed: 06/30/2023]
Abstract
BACKGROUND Farmers' compliance with common safety practices in pesticide use (i.e., keeping records of pesticide applications, reading the information of pesticide labels, and taking protective measures during pesticide handling) and the use of information sources about pesticides were studied in a simple random sample of farmers in Evros Province, northern Greece. RESULTS According to the three common safety practices considered in the study, most farmers (56.9%) complied with safety practices. Nevertheless, a noticeable proportion of the farmers never kept records of pesticide applications (33.9%), never read the information of pesticide labels (20.2%), and never took protective measures during pesticide handling (24.8%). Farmers reported using up to six different sources of information about pesticides, but the majority (51.4%) reported using up to one source and almost one-third (33.9%) relied on own sources. The most common information source about pesticides was the staff of the agricultural supply stores, used by 88.1% of the farmers. Safety behavior was positively correlated with total sources of information (P < 0.01) and information by the agricultural supply stores (P < 0.01). Multiple regression analysis showed that safety behavior was reduced in females, whereas it was increased in farmers with high education, high number of plots, and high level of information sources. CONCLUSION Despite good levels of safety behavior by most farmers, keeping records of sprayings should be improved. Using multiple information sources about pesticides is crucial to improve safety behavior of farmers. © 2023 The Authors. Pest Management Science published by John Wiley & Sons Ltd on behalf of Society of Chemical Industry.
Collapse
Affiliation(s)
- Petros Tsakiris
- Department of Agricultural Development, Democritus University of Thrace, Orestiada, Greece
| | - Christos A Damalas
- Department of Agricultural Development, Democritus University of Thrace, Orestiada, Greece
| | - Spyridon D Koutroubas
- Department of Agricultural Development, Democritus University of Thrace, Orestiada, Greece
| |
Collapse
|
5
|
Specka M, Kröckert T, Trilling M, Bonnet U, Schifano F, Scherbaum N. Opiate maintenance patients' attitudes and self-reported adherence to protective measures against SARS-CoV-2 infections. Front Psychiatry 2023; 14:1254053. [PMID: 37779618 PMCID: PMC10539610 DOI: 10.3389/fpsyt.2023.1254053] [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] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/06/2023] [Accepted: 08/28/2023] [Indexed: 10/03/2023] Open
Abstract
Background During the COVID-19 pandemic we assessed to which extent patients in opioid maintenance treatment (OMT) adhere to official recommendations regarding preventive intervention strategies against COVID-19. Methods Patients enrolled in two OMT clinics in Germany were interviewed applying a standardized questionnaire, which covered socio-demographic information, recent psychotropic substance use, recent social activities, the history of SARS-CoV-2 infection, attitudes toward official protection recommendations, and levels of adherence to these suggestions. Current mental and medical diagnoses were retrieved from medical files. In subjects without known infection and without vaccination, blood samples were tested for the identification of anti-SARS-CoV-2-S-antibodies. Interviews were performed between the end of May and the end of September 2021. Results Patients' (n = 155) average age was 47 years; 74% were males. In addition to the opiate dependence, in nearly 80% of cases another medical disorder was recorded. The range of medical factors that predispose for severe COVID-19 outcomes were present in 39% of patients; 18% of the sample refused to be vaccinated. Nearly all patients reported having carried out a range of activities outside their residence during the week prior to the interviews, including visits of treatment facilities (86.5%; 95% confidence interval [80.2%; 91.0%]) or meeting with friends (64.5% [65.7-71.6%]). Despite the fact that only about 47.1% [39.2%; 55%] felt well informed about measures against infection, adherence to COVID-19 countermeasures was generally high: 83.9% [77.3; 88.8%] claimed to have worn face masks always/nearly always; social distancing was performed always/nearly always by 58.7% [50.8%; 66.2%]; and hand hygiene was conducted by 64.5% [56.7%; 71.6%] of participants. None out of n = 25 tests from unvaccinated subjects was positive for anti-SARS-CoV-2-S-antibodies. Psychiatric comorbidity and educational degree were not statistically significantly associated with attitudes and compliance, except that patients with lower education felt relatively worse informed. Conclusion Self-reported adherence to recommended non-therapeutic intervention strategies and vaccination rates were similar to the German general population. Provision of more health-related information tailored to OMT patients appears necessary.
Collapse
Affiliation(s)
- Michael Specka
- Department of Psychiatry and Psychotherapy, LVR-Hospital Essen, Medical Faculty, University of Duisburg-Essen, Essen, Germany
| | - Tobias Kröckert
- Department of Psychiatry and Psychotherapy, LVR-Hospital Essen, Medical Faculty, University of Duisburg-Essen, Essen, Germany
| | - Mirko Trilling
- Institute for Virology, University Hospital Essen, University of Duisburg-Essen, Essen, Germany
| | - Udo Bonnet
- Department of Psychiatry and Psychotherapy, LVR-Hospital Essen, Medical Faculty, University of Duisburg-Essen, Essen, Germany
- Department of Psychiatry, Psychotherapy and Psychosomatic Medicine, Evangelisches Krankenhaus Castrop-Rauxel, Academic Teaching Hospital of the University of Duisburg-Essen, Essen, Germany
| | - Fabrizio Schifano
- Psychopharmacology, Drug Misuse and Novel Psychoactive Substances Research Unit, School of Life and Medical Sciences, University of Hertfordshire, Hertfordshire, United Kingdom
| | - Norbert Scherbaum
- Department of Psychiatry and Psychotherapy, LVR-Hospital Essen, Medical Faculty, University of Duisburg-Essen, Essen, Germany
| |
Collapse
|
6
|
Rocca E, Burro R, Carradore M, Lonardi C, Vicentini G, Raccanello D. Interviews about pandemics and protective measures: studying key informants' representation to develop a web-application for fostering children and adolescents' resilience. PSYCHOL HEALTH MED 2023; 28:2058-2072. [PMID: 36424708 DOI: 10.1080/13548506.2022.2151636] [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] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/14/2022] [Accepted: 11/21/2022] [Indexed: 11/27/2022]
Abstract
COVID-19 pandemic can be defined as a biological disaster whose impact is particularly evident for children and adolescents, vulnerable populations because of their level of cognitive and affective development. For this reason, it is of paramount relevance to develop actions focused on disaster-related prevention and preparedness, including psycho-education. In this study, we aimed at exploring key informants' representation of the pandemic, also to identify the contents for the first two levels of a psycho-educational web-application for children and adolescents, i.e., PandHEMOT® (Pandemics - Helmet for EMOTions). We involved 25 experts with different professional roles through semi-structured interviews about a variety of aspects related to the pandemic. We coded each proposition according to four categories (i.e., Basic knowledge, Procedural knowledge, Safety behaviors, and Consequences). First, a generalized linear mixed model revealed that Safety behaviors was the most frequent category, followed by Consequences, and in turn by Procedural and Basic knowledge. Second, through a cluster analysis we identified three clusters corresponding to different response patterns and pandemic representations. Third, we conducted a thematic analysis to select the items to be inserted in the first and second level of PandHEMOT®, focused on the nature of pandemics and pandemic-related protective measures. Notwithstanding the limitations related to the small sample, this research permitted to explore the representation of different experts concerning the COVID-19 pandemic. Also, these findings enabled to identify the contents for the initial levels of a web-application designed for increasing children and adolescents' knowledge on pandemics, emotions, and coping strategies. This initiative can be an example of a psycho-educational tool to enhance young people's disaster-related resilience.
Collapse
Affiliation(s)
- Emmanuela Rocca
- Department of Human Sciences, University of Verona, Verona, Italy
| | - Roberto Burro
- Department of Human Sciences, University of Verona, Verona, Italy
| | - Marco Carradore
- Department of Cultures and Civilizations, University of Verona, Verona, Italy
| | - Cristina Lonardi
- Department of Human Sciences, University of Verona, Verona, Italy
| | - Giada Vicentini
- Department of Human Sciences, University of Verona, Verona, Italy
| | | |
Collapse
|
7
|
Yamamura O, Onishi H, Sakamaki I, Fujita R, Miyashita H, Iwasaki H. Infection rate among close contacts of patients with coronavirus disease in Japan: a descriptive study and literature review. ASIAN BIOMED 2023; 17:115-123. [PMID: 37818161 PMCID: PMC10561678 DOI: 10.2478/abm-2023-0051] [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] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/12/2023]
Abstract
Background In Japan, on April 20, 2020, the definition of a close contact regarding coronavirus disease (COVID-19) was changed from a long-term contact time to a specified contact time of 15 min and from a contact distance of 2 m to 1 m. Objectives We aimed to determine the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection rate among close contacts of patients with COVID-19 and determine the impact of the infection on transmission among close contacts. Methods The numbers of SARS-CoV-2 tests, SARS-CoV-2-positive cases, and close contacts of patients with COVID-19 were assessed between March 2020 and February 2021 in Fukui Prefecture, Japan. The study period was subdivided into 3 periods. The second and third period contained data with the changed definition of close contact. Results Overall, 32,238 SARS-CoV-2 tests were performed. There were 545 patients with COVID-19 and 1487 close contacts, of whom 267 tested positive. The highest infection rate occurred in period 3. Distance, protective measures, and contact time with COVID-19 patients influenced the increased infection rate. The infection rate showed a rising trend from 11.1% in period 1 to 19.2% and 20.0% in periods 2 and 3, respectively (Cochran-Armitage test; P < 0.004). Multivariate analysis revealed that female sex was an independent risk factor for infection of close contacts (odds ratio: 2.23; 95% confidence interval: 1.700-2.930). Conclusions Female sex is a risk factor for transmission by close contacts. The rate of infection among close contacts may be associated with contact time, contact distance, and protective measures.
Collapse
Affiliation(s)
- Osamu Yamamura
- Department of Community Medicine, Faculty of Medical Sciences, University of Fukui, Fukui910-1193, Japan
| | - Hidenori Onishi
- Department of Community Medicine, Faculty of Medical Sciences, University of Fukui, Fukui910-1193, Japan
| | - Ippei Sakamaki
- Department of Infectious Diseases, Faculty of Medical Sciences, University of Fukui, Fukui910-1193, Japan
| | - Ryousuke Fujita
- Department of Biostatistics, Faculty of Medical Science, University of Fukui, Fukui910-1193, Japan
| | - Hirofumi Miyashita
- Department of Health and Welfare, Fukui Prefecture, Fukui910-8580, Japan
| | - Hiromichi Iwasaki
- Department of Infection Prevention and Control, University of Fukui Hospital, Fukui910-1193, Japan
| |
Collapse
|
8
|
Seité S, Le Dantec G, Demessant-Flavigny A, Kerob D. Survey of Hand Issues Encountered by Hairdressers and Hairdresser Related Professionals: From Epidemiological Data to Clinical Observational Survey Results. Clin Cosmet Investig Dermatol 2023; 16:111-117. [PMID: 36698444 PMCID: PMC9868141 DOI: 10.2147/ccid.s385681] [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] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/01/2022] [Accepted: 01/07/2023] [Indexed: 01/18/2023]
Abstract
Introduction Hand eczema is frequent among hairdressers. The aim of this open survey was (i) to assess the prevalence and identify causing factors of hand issues encountered by hairdressers and (ii) to assess the benefit of a cosmetic skin care in clinical signs and symptoms through a clinical observational survey. Methods The survey was conducted among 391 hairdressers and hairdresser-related professionals, collecting information on frequency of daily procedures, frequency/type/severity of hand issues, and glove usage. The satisfaction provided by a dermocosmetic containing niacinamide, glycerin, shea butter and thermal spring water was examined in an evaluation visit one month after survey initiation. Results Investigated subjects were mostly hairdressers (73%). In their daily procedures, a majority (≥76%) always or often used shampoos, hair dyes, oxidants, bleachers, straighteners and perms. Overall, a majority (>60%) of subjects always or often had hand irritation due to this use (except for straighteners). Most subjects (≥60%) reported using gloves in their procedures except with shampoos and straighteners. Among hand problems reported at survey initiation, the most intense was skin dryness, followed by redness, irritation, cracks, and fissures. Hand problems induced annoyance in their activities for most subjects (>65%), leading to discontinuation of their professional activities for 28% subjects. The test dermocosmetic was applied for 1 week up to 1 month. At evaluation visit (1 month), the intensity of all hand signs and symptoms was decreased compared to initiation visit. In addition, 58.3% subjects reported return to professional activities instantly at evaluation visit versus 31.3% at initial visit. Most subjects (≥73%) were satisfied or very satisfied with the test cream properties. Conclusion Our survey confirms the impact of hand issues experienced by hairdresser professionals and highlights the need for gloves and for efficient hand care products.
Collapse
Affiliation(s)
- Sophie Seité
- Medical Department, La Roche-Posay International, Levallois-Perret, France
| | | | | | - Delphine Kerob
- Medical Department, La Roche-Posay International, Levallois-Perret, France,Correspondence: Delphine Kerob, Cosmétique Active International, La Roche-Posay International, 62 quai Charles Pasqua, Levallois-Perret, 92300, France, Tel +33 6 62 40 22 52, Email
| |
Collapse
|
9
|
Wali AA. Relationship between the government implemented protective measures for coronavirus disease 2019 (COVID-19) during the pandemic and the understanding of religious evidence in Muslim community: A cross-sectional study from Saudi Arabia. J Family Community Med 2023; 30:23-29. [PMID: 36843870 PMCID: PMC9954432 DOI: 10.4103/jfcm.jfcm_125_22] [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] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2022] [Revised: 07/03/2022] [Accepted: 07/24/2022] [Indexed: 02/28/2023] Open
Abstract
BACKGROUND Coronavirus disease 2019 (COVID-19), which has swept across the Middle East has ignited religious tensions. Although the implementation of effective preventive measures is the best way to control the spread of COVID-19, in such countries as Saudi Arabia, these restrictions have sometimes been viewed as violations of religious practice. The present study explores the reasons for ignoring the authorities' recommendations, and the inability of the authorities to create a sense of inclusion in the protective measures they introduce against the COVID-19 outbreak. MATERIALS AND METHODS A cross-sectional community-based study was conducted in Saudi Arabia and data were collected from 922 participants. The questionnaire contained 17 questions on personal characteristics, compliance with governmental protective measures, and participants' understanding of religious evidence. The SPSS was used for data analysis. Categorical data was presented as frequencies and percentages. Chi-square test was used to determine the association between people's compliance to the protective measures and their understanding of religious evidence. RESULTS The age of the study participants ranged between 17 to 68 years with a mean age of 43.9 (±12.69) years. About half of the participants reported always complying to Mosque precautions (49.9%) and keeping distance (53.7%). However, only 34.3% participants always maintained social distancing while visiting relatives; about 25.2% often kept a social distance. We found that an adequate understanding of religious principles was significantly associated with accepted overall commitment, and inadequate understanding was significantly associated with lack of commitment. An adequate understanding of religious principles was significantly associated with a positive attitude toward future commitment and inadequate understanding was significantly associated with a negative attitude. CONCLUSION We recommend that the Ministry of Health in Saudi Arabia solicits the support of religious scholars to give a proper explanation of the religious evidence and eliminate misconceptions to promote compliance with the protective measures.
Collapse
Affiliation(s)
- Alzubair A. Wali
- Head of Orthopedic Department, King Fahad Specialist Hospital, Buraydah, Saudi Arabia
| |
Collapse
|
10
|
de Lima Barroso BI, da Silva CAA, Mascarenhas IDL, Nogueira LDFZ, Ferreira WB, Araújo AB, de Oliveira E Silva AC. Continuing work in times of COVID-19: Protection measures in the workplace for health professionals. Work 2023; 76:941-951. [PMID: 37248942 DOI: 10.3233/wor-220656] [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] [Indexed: 05/31/2023] Open
Abstract
BACKGROUND The arrival of COVID-19 in Brazil and the accelerated process of dissemination/contamination added to the evolution of the clinical picture of the disease, and the saturation of the capacity of health services, creating new challenges for researchers, governments, and professionals involved in the occupational health area. OBJECTIVE This article aims to systematize and synthesize the proposals adopted by the legislation and by the Brazilian State, with a focus on worker protection and guaranteeing a safe work environment for the performance of their professional activities. METHODS This is qualitative bibliographical research of the narrative literature review type, developed from October 2020 to June 2021 in legislation databases using the strategy: "COVID-19" AND "coronavirus/coronavirus" AND "worker health" on official Brazilian government websites. RESULTS The lack of an emergency plan for efficient actions to respond to the epidemic caused and is still causing the daily deaths of workers. CONCLUSION There is a need to guarantee the effectiveness of national and international policies and norms that have been neglected by the Brazilian government.
Collapse
Affiliation(s)
- Bárbara Iansã de Lima Barroso
- Department of Preventive Medicine, Federal University of São Paulo, São Paulo, Brazil
- Graduate Program in Nursing, Federal University of Paraíba, João Pessoa, Brazil
| | | | | | | | | | | | - Ana Cristina de Oliveira E Silva
- Graduate Program in Nursing, Federal University of Paraíba, João Pessoa, Brazil
- Department of Clinical Nursing, Federal University of Paraíba, João Pessoa, Brazil
| |
Collapse
|
11
|
Haque MA, Tanbir M, Ahamed B, Hossain MJ, Roy A, Shahriar M, Bhuiyan MA, Islam MR. Comparative Performance Evaluation of Personal Protective Measures and Antiviral Agents Against SARS-CoV-2 Variants: A Narrative Review. Clin Pathol 2023; 16:2632010X231161222. [PMID: 36938514 PMCID: PMC10014419 DOI: 10.1177/2632010x231161222] [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] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/07/2022] [Accepted: 02/15/2023] [Indexed: 03/16/2023]
Abstract
Scientists identified SARS-CoV-2 in December 2019 in Wuhan city of China. Soon after its identification, Covid-19 spreads almost everywhere. The World Health Organization (WHO) declared the Covid-19 outbreak as a pandemic on March 11, 2020. Countries are facing multiple waves due to the different variants of the coronavirus. Personal preventive measures, vaccines, and antiviral drugs are the approaches to control Covid-19. However, these approaches are being implemented in different countries at different levels because of the availability of personal protective measures and antiviral agents. The objective of this study was to evaluate the effectiveness of practicing measures to fight the Covid-19 pandemic. Here we searched relevant literature from PubMed and Scopus using the keywords such as personal protective measures, antiviral agents, and vaccine effectiveness. According to the present findings, protective measures were found comparatively less effective. Nevertheless, these measures can be used to limit the spreading of Covid-19. Antiviral agents can reduce the hospitalization rate and are more effective than personal protective measures. The most effective strategy against Covid-19 is early vaccination or multiple vaccination dose. The respective authorities should ensure equal distribution of vaccines, free availability of antiviral drugs, and personal protective measure in poor and developing countries. We recommend more studies to describe the effectiveness of practicing preventive measures and antiviral agents against recent variants of the coronavirus.
Collapse
Affiliation(s)
- Md Anamul Haque
- Department of Pharmacy, University of Asia Pacific, Dhaka, Bangladesh
| | - Md Tanbir
- Department of Pharmacy, University of Asia Pacific, Dhaka, Bangladesh
| | - Bulbul Ahamed
- Department of Pharmacy, University of Asia Pacific, Dhaka, Bangladesh
| | - Md Jamal Hossain
- Department of Pharmacy, State University of Bangladesh, Dhaka, Bangladesh
| | - Arpita Roy
- Department of Biotechnology, School of Engineering & Technology, Sharda University, Greater Noida, India
| | - Mohammad Shahriar
- Department of Pharmacy, University of Asia Pacific, Dhaka, Bangladesh
| | | | - Md Rabiul Islam
- Department of Pharmacy, University of Asia Pacific, Dhaka, Bangladesh
- Md Rabiul Islam, Department of Pharmacy, University of Asia Pacific, 74/A Green Road, Farmgate, Dhaka1205, Bangladesh.
| |
Collapse
|
12
|
Hamad AA, Selim R, Amer BE, Diab RA, Elazb M, Elbanna EH, Mrge Collaborative Group, Negida A. COVID-19 Risk Perception and Adherence to Preventive Measures among Medical Students after Receiving COVID-19 Vaccination: A Multicenter Cross-Sectional Study in Egypt. Vaccines (Basel) 2022; 11:7. [PMID: 36679851 DOI: 10.3390/vaccines11010007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2022] [Revised: 12/07/2022] [Accepted: 12/12/2022] [Indexed: 12/24/2022] Open
Abstract
This study aimed to assess the perception of COVID-19 risk and the adherence to protective measures among medical students after vaccination. We conducted a cross-sectional survey on a convenience sample of students from all the 18 governmental medical schools in Egypt. A total of 2273 students participated in the online self-administered questionnaire. Around 8 in 10 (83.2%) students were fully vaccinated, of which 17.9% received the booster dose. Only 36.9% believed that COVID-19 is serious on the individual level. The majority (73.9%) strongly or slightly agreed they may become infected after vaccination if they do not follow the preventive measures. We observed a slow decline in the perceived risk of vulnerability and susceptibility to COVID-19 infection among students in parallel to a growing perception of self-efficacy and controllability. Less than one-third (28.9%) of students showed good adherence to protective measures. However, this was lower than the previously reported adherence in the same population before vaccination. Female students, those in the first academic year, those who did not contract COVID-19 infection before, and those with a higher perception of susceptibility and perceived controllability were more likely to perform better at protective measures.
Collapse
|
13
|
Recio-Vivas AM, Mansilla-Domíngez JM, Belzunegui-Eraso Á, Peña-Otero D, Díaz-Pérez D, Lorenzo-Allegue L, Font-Jiménez I. Compliance with COVID-19 Prevention Measures in the Spanish Population during the New Normal: Will the Need for Greater Community Involvement Be One of the Lessons Learned? Int J Environ Res Public Health 2022; 19:15983. [PMID: 36498056 PMCID: PMC9737321 DOI: 10.3390/ijerph192315983] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/11/2022] [Revised: 11/16/2022] [Accepted: 11/26/2022] [Indexed: 06/17/2023]
Abstract
Throughout the pandemic, national and international health authorities have called on the population to collaborate and contribute with their behavior to control the problem. The aim of this study is to analyze the implementation of the protective measures against COVID-19 and to determine the factors involved in their compliance. To respond to the objectives, a cross-sectional study was performed involving a total of 5560 individuals. An ad hoc online questionnaire was created and shared through social networks, scientific societies, and various health institutions. The probability of high or total compliance with the protective measures was higher in women (OR = 1.401) and as age increases, with an OR = 2.524 in the interval between 31 and 64 years old and an OR = 2.896 in the oldest interval (65 and over). This study shows the characteristics of the population that considers it more likely to be infected by SARS-CoV-2, thus adopting greater adherence to prevention measures. Knowing which factors are associated with adherence to protective measures is essential for establishing effective pandemic control measures. Our findings may be useful for designing future awareness campaigns adapted to different socio-demographic characteristics in settings affected by COVID-19.
Collapse
Affiliation(s)
- Ana María Recio-Vivas
- Department of Nursing, Faculty of Biomedical and Health Science, Universidad Europea de Madrid, 28670 Madrid, Spain
| | | | - Ángel Belzunegui-Eraso
- Medical Anthropology Research Center, Faculty of Nursing, Rovira i Virgili University, 43002 Tarragona, Spain
| | - David Peña-Otero
- Sub-Directorate of Caring, Cantabrian Health Service, Material Resources Unit, Management of Products, Equipment and Health Technology, Hospital Universitario Marqués de Valdecilla, 39011 Cantabria, Spain
- Nursing Area, IDIVAL Research Institutes Valdecilla, 39011 Cantabria, Spain
- Respiratory Nursing Department at Sociedad Española de Neumología y Cirugía Torácica (SEPAR), 08029 Barcelona, Spain
| | - David Díaz-Pérez
- Respiratory Nursing Department at Sociedad Española de Neumología y Cirugía Torácica (SEPAR), 08029 Barcelona, Spain
- Pneumology and Thoracic Surgery Service of the Hospital Universitario Nuestra Señora de Candelaria, 38010 Santa Cruz de Tenerife, Spain
| | - Laura Lorenzo-Allegue
- Department of Nursing, Faculty of Biomedical and Health Science, Universidad Europea de Madrid, 28670 Madrid, Spain
| | - Isabel Font-Jiménez
- Department of Nursing, Faculty of Biomedical and Health Science, Universidad Europea de Madrid, 28670 Madrid, Spain
| |
Collapse
|
14
|
Muacevic A, Adler JR, Colli F, Portigliotti L, Maroso F, Nicolosi FM, Soresini O, Romito R. Standard Versus Advanced Protective Measures in a COVID-Free Surgical Pathway. Cureus 2022; 14:e31227. [PMID: 36514587 PMCID: PMC9733778 DOI: 10.7759/cureus.31227] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/07/2022] [Indexed: 11/10/2022] Open
Abstract
Introduction The importance of coronavirus disease (COVID)-free surgical pathways during the coronavirus disease 2019 (COVID-19) pandemic has been demonstrated. However, the extent of protective measures to be applied against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), particularly before vaccines became available, remained unclear. Methods This retrospective study included all SARS-CoV-2-negative patients admitted to the COVID-free pathway of a regional abdominal surgery hub center in Northern Italy over 12 months, before the vaccination campaign. During the first seven months, basic protective measures against SARS-CoV-2 were adopted (surgical masks, swabs for symptomatic patients, and intra- or interhospital transfers), since patients were treated as effectively negative (standard management). During the last five months, advanced measures were implemented (enhanced personal protections and systematic control swabs), as patients were considered potentially positive (advanced management). The aim of this article was to compare SARS-CoV-2 incidence and surgical outcomes in these periods. Results A total of 283 and 194 patients were admitted under standard and advanced management, respectively; pre-admission data differed only in the rate of previous SARS-CoV-2 infection (2.5% versus 6.7%, p= 0.034). The SARS-CoV-2 incidence was 3.9% and 3.1% for standard and advanced periods, respectively (p = 0.835). Two internal outbreaks developed during the standard phase. The advanced protocol significantly increased the rate of patients re-tested for SARS-CoV-2 (83% versus 41.7%, p < 0.001) and allowed early detection of all infections, which remained sporadic. Surgical outcomes were similar. Conclusions Advanced management was instrumental in detecting positive patients early and preventing outbreaks, without affecting surgical results; accordingly, it stands as a reproducible model for future pandemic scenarios.
Collapse
|
15
|
Sohail MT, Yang M, Maresova P, Mustafa S. An SEM-ANN approach to evaluate public awareness about COVID, A pathway toward adaptation effective strategies for sustainable development. Front Public Health 2022; 10:1046780. [PMID: 36339186 PMCID: PMC9627197 DOI: 10.3389/fpubh.2022.1046780] [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] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2022] [Accepted: 09/30/2022] [Indexed: 01/31/2023] Open
Abstract
This study was conducted to evaluate public awareness about COVID with aimed to check public strategies against COVID-19. A semi structured questionnaire was collected and the data was analyzed using some statistical tools (PLS-SEM) and artificial neural networks (ANN). We started by looking at the known causal linkages between the different variables to see if they matched up with the hypotheses that had been proposed. Next, for this reason, we ran a 5,000-sample bootstrapping test to assess how strongly our findings corroborated the null hypothesis. PLS-SEM direct path analysis revealed HRP -> PA-COVID, HI -> PA-COVID, MU -> PA-COVID, PM -> PA-COVID, SD -> PA-COVID. These findings provide credence to the acceptance of hypotheses H1, H3, and H5, but reject hypothesis H2. We have also examined control factors such as respondents' age, gender, and level of education. Age was found to have a positive correlation with PA-COVID, while mean gender and education level were found to not correlate at all with PA-COVID. However, age can be a useful control variable, as a more seasoned individual is likely to have a better understanding of COVID and its effects on independent variables. Study results revealed a small moderation effect in the relationships between understudy independent and dependent variables. Education significantly moderates the relationship of PA-COVID associated with MU, PH, SD, RP, PM, PA-COVID, depicts the moderation role of education on the relationship between MU*Education->PA-COVID, HI*Education->PA.COVID, SD*Education->PA.COVID, HRP*Education->PA.COVID, PM*Education -> PA.COVID. The artificial neural network (ANN) model we've developed for spreading information about COVID-19 (PA-COVID) follows in the footsteps of previous studies. The root means the square of the errors (RMSE). Validity measures how well a model can predict a certain result. With RMSE values of 0.424 for training and 0.394 for testing, we observed that our ANN model for public awareness of COVID-19 (PA-COVID) had a strong predictive ability. Based on the sensitivity analysis results, we determined that PA. COVID had the highest relative normalized relevance for our sample (100%). These factors were then followed by MU (54.6%), HI (11.1%), SD (100.0%), HRP (28.5%), and PM (64.6%) were likewise shown to be the least important factors for consumers in developing countries struggling with diseases caused by contaminated water. In addition, a specific approach was used to construct a goodness-of-fit coefficient to evaluate the performance of the ANN models. The study will aid in the implementation of effective monitoring and public policies to promote the health of local people.
Collapse
Affiliation(s)
- Muhammad Tayyab Sohail
- School of Public Administration, Xiangtan University, Xiangtan, China,South Asia Research Center, School of Public Administration, Xiangtan University, Xiangtan, China,*Correspondence: Muhammad Tayyab Sohail
| | - Minghui Yang
- International Business School, Guangzhou City University of Technology, Guangzhou, China,Research Center for Accounting and Economic Development of Guangdong-Hong Kong-Macao Greater Bay Area, Guangdong University of Foreign Studies, Guangzhou, China,Minghui Yang
| | - Petra Maresova
- Faculty of Informatics and Management, University of Hradec Kralove, Hradec Kralove, Czechia,Malaysia-Japan International Institute of Technology, Universiti Teknologi Malaysia, Kuala Lumpur, Malaysia,Petra Maresova
| | - Sohaib Mustafa
- College of Economics and Management, Beijing University of Technology, Beijing, China
| |
Collapse
|
16
|
Gardelis P, Ebersberger R, Zekeridou A, Giannopoulou C. Clinical Attitudes, Behaviors and Perceived Stress Towards the COVID-19 Pandemic: A Questionnaire Survey among Swiss Dentists. Oral Health Prev Dent 2022; 20:379-384. [PMID: 36259441 DOI: 10.3290/j.ohpd.b3500619] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Abstract
PURPOSE To investigate dentists' work conditions, awareness, protective measures, economic effects and perceived stress during the first two waves of the COVID-19 pandemic. MATERIALS AND METHODS This cross-sectional survey was conducted among 126 dentists working in the Frenchspeaking part of Switzerland, in particular in the Cantons of Vaud and Geneva. Data consisted of the answers to 40 questions assessing the knowledge, attitudes, workload and mental condition of the dentists during the first 2 waves of the COVID-19 pandemic. RESULTS Swiss dentists received sufficient information about the COVID-19 pandemic and implemented protective measures. Differences were found between the 1st and the 2nd wave concerning the workload; during the first wave, the workload was low for the majority of dentists (60%), whereas during the second, it was moderate (53.4%) or high (41.3%). During both waves, the mental burden was also important, and was related mainly to financial issues and fear of infection. CONCLUSIONS This survey reported that Swiss dentists were, in general, satisfied with the transmission of precise operating guidelines during the pandemic. However, a considerable psychological impact, mainly during the first wave, was revealed. With the implementation of proper strategic measures during the COVID-19 outbreak, dental practitioners will be prepared for future global health-care disruptions.
Collapse
|
17
|
Duygulu S, Kuruca-Ozdemir E, Erdat Y, Kocoglu-Tanyer D. University Students' Risk Perception, Protective Measures, and General Health During the COVID-19 Pandemic in Turkey. Disaster Med Public Health Prep 2022; 17:e267. [PMID: 35993486 DOI: 10.1017/dmp.2022.216] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
OBJECTIVE This study aimed to investigate university students' risk perception, protective measures, and general health during the coronavirus disease 2019 (COVID-19) pandemic in Turkey. METHODS The research sample consisted of 1920 university students. The data were collected through an online questionnaire. RESULTS A total of 56.6% of the students considered their risk of being infected with the COVID-19. The number of measures taken by students was lower than expected. Students' increased anxiety perceived individual risk level, insufficient social support perceptions, and their perceptions of the current pandemic more serious than previous epidemics affect the number of measures they take. Students had sleep and study problems, and suicidal thoughts in the social isolation period. Sex, studying in medicine, anxiety related to COVID-19, feeling unconfident in coping with the pandemic, social support, were determined to be risk factors regarding general health, sleep and study problems, and suicidal thoughts. CONCLUSIONS The results of the study showed that the measures taken by university students were insufficient and the precautions were affected by many factors. It was determined that their health was adversely affected by the pandemic. University administrations and decision-makers should consider the risk factors to improve the students' experiences in such pandemics and emergencies.
Collapse
|
18
|
Kaspar K, Nordmeyer L. Personality and Motivation to Comply With COVID-19 Protective Measures in Germany. Front Psychol 2022; 13:893881. [PMID: 35769721 PMCID: PMC9234562 DOI: 10.3389/fpsyg.2022.893881] [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] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2022] [Accepted: 05/02/2022] [Indexed: 11/13/2022] Open
Abstract
The COVID-19 pandemic strains the healthcare systems, economy, education, and social life. Governments took several protective measures and formulated behavioral guidelines to prevent individual diseases and the collapse of healthcare systems. However, individual differences in the extent of compliance with the measures are apparent. To shed more light on this issue, the present correlational study examined the joint relation of several personal characteristics to people's motivation to comply with seven protective measures. Personal characteristics included age, gender, risk perception, the Big Five, the Dark Triad, conspiracy mentality, perceived locus of control, and general affect. Protective measures included social distancing, hygiene rules, wearing face masks, using a contact-tracing app, sharing one's infection status via the app, reducing physical contacts, and vaccinations. The study ran from 10 November 2020 to 29 December 2020. Based on a sample of 1,007 German-speaking participants, bivariate correlations and multiple regression analyses showed that personal characteristics are significantly linked to the motivation to comply with these measures. However, general affect, control beliefs, and basic personality traits play only a minor role. Age and gender showed some significant associations with protective measures. In contrast, protection motivation factors, in terms of perceived severity of and vulnerability to infection, and conspiracy mentality appear to be the major correlates of adopting protective behavior. The absolute motivation to comply with the measures also shows that hygiene rules and wearing face masks receive a higher average agreement than more personally intrusive measures such as physical contact restrictions and vaccinations. These results highlight that factors that are relevant to some measures may be irrelevant to other measures. Differences in people's personal characteristics should be considered in the design and communication of measures to support social acceptance and effectiveness. In this context, cognitive variables, which can be addressed by communication and education directly, seem to be more important than general affect and relatively time-invariant personality traits.
Collapse
Affiliation(s)
- Kai Kaspar
- Department of Psychology, University of Cologne, Cologne, Germany
| | | |
Collapse
|
19
|
Nowacki K, Łakomy K, Marczak W. Speech Impaired by Half Masks Used for the Respiratory Tract Protection. Int J Environ Res Public Health 2022; 19:7012. [PMID: 35742261 DOI: 10.3390/ijerph19127012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/19/2022] [Revised: 06/06/2022] [Accepted: 06/07/2022] [Indexed: 02/04/2023]
Abstract
Filtering half masks belong to the group of personal protective equipment in the work environment. They protect the respiratory tract but may hinder breath and suppress speech. The present work is focused on the attenuation of sound by the half masks known as “filtering facepieces”, FFPs, of various construction and filtration efficiency. Rather than study the perception of speech by humans, we used a generator of white noise and artificial speech to obtain objective characteristics of the attenuation. The generator speaker was either covered by an FFP or remained uncovered while a class 1 meter measured sound pressure levels in 1/3 octave bands with center frequencies 100–20 kHz at distances from 1 to 5 m from the speaker. All five FFPs suppressed acoustic waves from the octave bands with center frequencies of 1 kHz and higher, i.e., in the frequency range responsible for 80% of the perceived speech intelligibility, particularly in the 2 kHz-octave band. FFPs of higher filtration efficiency stronger attenuated the sound. Moreover, the FFPs changed the voice timbre because the attenuation depended on the wave frequency. The two combined factors can impede speech intelligibility.
Collapse
|
20
|
He Z, Dela Rosa R. Management of the wound care clinic during the novel coronavirus pneumonia pandemic period: Sharing of management experience in a general hospital of China. Int Wound J 2022; 19:2071-2081. [PMID: 35357081 PMCID: PMC9111621 DOI: 10.1111/iwj.13810] [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] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2022] [Revised: 03/17/2022] [Accepted: 03/23/2022] [Indexed: 11/28/2022] Open
Abstract
With the surge in the confirmed cases of the novel coronavirus pneumonia, medical resources in many countries have been put on red alert levels. The operation management systems of hospitals, including wound care clinics, must be innovated to ensure the normal operation of the hospital and meet the medical care needs of the people. At the same time, scientific control measures are also required to prevent the spread of the novel coronavirus pneumonia in the hospital. Actually, during the novel coronavirus pneumonia pandemic, emergency management methods for wound care clinics such as online appointments and remote online diagnosis and treatment, the rational arrangement of human resources, the scientific implementation of epidemic prevention and control measures, and the strict implementation of the management of the clinic environment and item disinfection measures to strengthen the management of protective materials, wound care materials, and dressing equipment by partition have been introduced and innovated, thus helping reduce the gathering of people in wound care clinics, create a safe medical environment, and avoid the spread of the novel coronavirus pneumonia caused by diagnosis and treatment.
Collapse
Affiliation(s)
- Zhenhua He
- Faculty of Medicine and Health, Shaoxing University Yuanpei College, Zhejiang, China.,School of Nursing, Philippine Women's University, Manila, Philippines
| | - Ronnell Dela Rosa
- School of Nursing, Philippine Women's University, Manila, Philippines.,College of Nursing and Midwifery, Bataan Peninsula State University, Balanga, Philippines
| |
Collapse
|
21
|
Alsuliman T, Alasadi L, Alrstom A, Alabdallah G, Sneij J, Al Khalaf R, Alhalabi M. Protective Measures Practices Among Hospitals' Professionals Working in a Fragile Health System. Disaster Med Public Health Prep 2022; 17:e84. [PMID: 35179105 DOI: 10.1017/dmp.2021.356] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
OBJECTIVE This study aimed to assess the protective measures among health-care workers (HCWs) in a war-torn area during coronavirus disease 2019 (COVID-19) pandemic. METHODS An online cross-sectional questionnaire was administrated to HCWs in Syria between April 1 and May 21, 2020. The questions aimed to assess the HCWs' application of safety, hygiene, and necessary protection considerations while attending to suspected or proven COVID-19 cases. Unpaired t-test and 1-way analysis of variance (ANOVA) were used for statistical analysis. RESULTS Of the 290 participants included in the statistical analysis, 250 were medical doctors. Low scores of protective practices were noticed among the participants, as only 12% of doctors had a score above 6/15 points, and only 37.5% of nurses had a score of more than 4/12 points. Medical doctors who were not on the frontlines scored significantly higher than those who were on the frontlines (4.69 vs 3.80 points, respectively; P < 0.001). CONCLUSIONS More courses and training sessions should be implemented to improve the practice of protective measures among HCWs (frontliners in particular) in areas with fragile health systems, such as Syria, during the COVID-19 pandemic, especially those on the frontlines. Moreover, specific COVID-19 protection measures guidelines to low-income countries are needed.
Collapse
|
22
|
Benenson S, Ottolenghi M, Cohen MJ, Nir-Paz R, Oster Y. High attack rate of COVID-19 in an organized tour group of vaccinated travellers to Iceland. J Travel Med 2021; 28:6377252. [PMID: 34581403 PMCID: PMC8522358 DOI: 10.1093/jtm/taab157] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/02/2021] [Revised: 09/19/2021] [Accepted: 09/23/2021] [Indexed: 01/07/2023]
Abstract
In a COVID-19 outbreak in a group of 25 twice-vaccinated Israeli travellers, the attack rate was 84%, despite negative preflight polymerase chain reaction tests. This extremely high breakthrough infection rate is attributed mainly to close and prolonged exposures during long bus drives. Masking, distancing and personal responsibility are required to avoid such outbreaks.
Collapse
Affiliation(s)
- Shmuel Benenson
- The Faculty of Medicine, Hebrew University of Jerusalem, Israel.,Department of Clinical Microbiology and Infectious Diseases, Hadassah Hebrew University Medical Center, Jerusalem, Israel
| | - Miriam Ottolenghi
- The Faculty of Medicine, Hebrew University of Jerusalem, Israel.,Department of Clinical Microbiology and Infectious Diseases, Hadassah Hebrew University Medical Center, Jerusalem, Israel
| | - Matan J Cohen
- Clalit Health Services, Hebrew University, Jerusalem, Israel
| | - Ran Nir-Paz
- The Faculty of Medicine, Hebrew University of Jerusalem, Israel.,Department of Clinical Microbiology and Infectious Diseases, Hadassah Hebrew University Medical Center, Jerusalem, Israel
| | - Yonatan Oster
- The Faculty of Medicine, Hebrew University of Jerusalem, Israel.,Department of Clinical Microbiology and Infectious Diseases, Hadassah Hebrew University Medical Center, Jerusalem, Israel
| |
Collapse
|
23
|
Belmont AS, Sajous C, Bruyas A, Calattini S, Cartalat S, Chauvenet M, Colombel M, Dalle S, Dagonneau T, Darrason M, Devouassoux G, Duruisseaux M, Guillet M, Glehen O, Philouze P, Tronc F, Walter T, You B, Freyer G. Impact of the First Wave of the COVID-19 Pandemic on the Lyon University Hospital Cancer Institute (IC-HCL). Cancers (Basel) 2021; 14:cancers14010029. [PMID: 35008192 PMCID: PMC8750524 DOI: 10.3390/cancers14010029] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2021] [Revised: 12/09/2021] [Accepted: 12/18/2021] [Indexed: 11/16/2022] Open
Abstract
This article presents the protective measures put in place at the "Institut de Cancérologie des Hospices de Lyon" (IC-HCL) during the first wave of the COVID-19 pandemic in France (spring 2020) and how they impacted IC-HCL clinical activity. Spring 2020 activities were compared to winter 2019-2020. Results showed a decrease of activity of 9% for treatment dispensations, 17% for multidisciplinary team meetings, 20% for head and neck and thoracic surgeries, and 58% for new patient enrolment in clinical trials. Characteristics of patients treated for solid cancer and hospitalized for COVID-19 during spring 2020 were collected in a retrospective study. Mortality was attributed to COVID-19 for half of the cases, 82% being patients above 70 and 73% being stage IV. This is in concordance with current findings concluding that the risk of developing severe or critical symptoms of COVID-19 is correlated with factors co-occurring in cancer patients and not to the cancer condition per se. While a number of routines and treatment regimens were changed, there was no major decline in numbers of treatments conducted at the IC-HCL during the first wave of the COVID-19 pandemic that hit France between March and May 2020, except for clinical trials and some surgery activities.
Collapse
Affiliation(s)
- Anne-Sophie Belmont
- Plateforme Transversale de Recherche Clinique de l'Institut de Cancérologie, Hospices Civils de Lyon, 69310 Pierre-Benite, France
| | - Christophe Sajous
- Service d'Oncologie Médicale, Hôpital Lyon Sud, Hospices Civils de Lyon, 69310 Pierre-Benite, France
| | - Amandine Bruyas
- Service d'Oncologie Médicale, Hôpital de la Croix-Rousse, Hospices Civils de Lyon, 69004 Lyon, France
| | - Sara Calattini
- Plateforme Transversale de Recherche Clinique de l'Institut de Cancérologie, Hospices Civils de Lyon, 69310 Pierre-Benite, France
| | - Stéphanie Cartalat
- Service de Neuro-Oncologie, Hôpital Pierre Wertheimer, Hospices Civils de Lyon, 69500 Bron, France
| | - Marion Chauvenet
- Service d'Hépato-Gastroentérologie, Hôpital Lyon Sud, Hospices Civils de Lyon, 69310 Pierre-Benite, France
| | - Marc Colombel
- Service d'Urologie et Chirurgie de la Transplantation, Hôpital Edouard Herriot, Hospices Civils de Lyon, 69003 Lyon, France
| | - Stéphane Dalle
- Service de Dermatologie, Hôpital Lyon Sud, Hospices Civils de Lyon, 69310 Pierre-Benite, France
| | - Tristan Dagonneau
- Départment d'Information Médicale, Hôpital Lyon Sud, Hospices Civils de Lyon, 69310 Pierre-Benite, France
| | - Marie Darrason
- Service de Pneumologie Aiguë Spécialisée et Cancérologie Thoracique, Hôpital Lyon Sud, Hospices Civils de Lyon, 69310 Pierre-Benite, France
| | - Gilles Devouassoux
- Service de Pneumologie, Hôpital de la Croix-Rousse, Hospices Civils de Lyon, 69004 Lyon, France
| | - Michaël Duruisseaux
- Service de Pneumologie, Hôpital Louis Pradel, Hospices Civils de Lyon, 69500 Bron, France
| | - Marielle Guillet
- Service d'Hépato-Gastroentérologie, Hôpital de la Croix-Rousse, Hospices Civils de Lyon, 69004 Lyon, France
| | - Olivier Glehen
- Service de Chirurgie Digestive et Oncologique, Hôpital Lyon Sud, Hospices Civils de Lyon, 69310 Pierre-Benite, France
| | - Pierre Philouze
- Service d'Oto-Rhino-Laryngologie et Chirurgie Cervico-Faciale, Hôpital de la Croix-Rousse, Hospices Civils de Lyon, 69004 Lyon, France
| | - François Tronc
- Service Chirurgie Thoracique Vidéothoracoscopie et Transplantation Pulmonaire, Hôpital Louis Pradel, Hospices Civils de Lyon, 69500 Bron, France
| | - Thomas Walter
- Service d'Oncologie Médicale, Hôpital Edouard Herriot, Hospices Civils de Lyon, 69003 Lyon, France
| | - Benoît You
- Service d'Oncologie Médicale, Hôpital Lyon Sud, Hospices Civils de Lyon, 69310 Pierre-Benite, France
| | - Gilles Freyer
- Service d'Oncologie Médicale, Hôpital Lyon Sud, Hospices Civils de Lyon, 69310 Pierre-Benite, France
| |
Collapse
|
24
|
Hu L, Li J, Zhang H, Bian T, Pan J, Li J, Xu X, Gao Y, Chen G, Ye Y, Li J. Predisposing Factors for Person-to-Person Transmission of Severe Fever with Thrombocytopenia Syndrome Bunyavirus. J Hosp Infect 2021; 123:174-178. [PMID: 34767872 DOI: 10.1016/j.jhin.2021.10.023] [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: 08/09/2021] [Revised: 10/28/2021] [Accepted: 10/30/2021] [Indexed: 11/16/2022]
Abstract
Person-to-person transmission of severe fever with thrombocytopenia syndrome virus (SFTSV) is a new threat to human health. Here we report an outbreak of nosocomial person-to-person transmission of SFTS. Among eight persons with face-to-face contact distance ≤50 centimeters and/or exposure time ≥30 minutes to the index patient, six became were infected. Only one of the 17 persons with exposure distance ≥ 50 centimeters and exposure time ≤ 30 minutes was infected (75% vs. 6.25%, p <0.001). Epidemiological investigation revealed high viral load, bloody secretions and bleeding, exposure time and distance as the key factors in person-to-person transmission.
Collapse
Affiliation(s)
- L Hu
- Department of Infectious Diseases, First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China; Anhui Center for Surveillance of Bacterial Resistance, Hefei, Anhui, China; Institute of Bacterial Resistance, Anhui Medical University, Hefei, Anhui, China
| | - J Li
- Department of Infectious Diseases, First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China
| | - H Zhang
- Department of Infectious Diseases, First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China
| | - T Bian
- Department of Infectious Diseases, First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China
| | - J Pan
- Department of Infectious Diseases, First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China
| | - J Li
- Anhui Center for Surveillance of Bacterial Resistance, Hefei, Anhui, China
| | - X Xu
- Department of Infectious Diseases, First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China
| | - Y Gao
- Department of Infectious Diseases, First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China
| | - G Chen
- Department of Infectious Diseases, First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China
| | - Y Ye
- Department of Infectious Diseases, First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China.
| | - J Li
- Department of Infectious Diseases, First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China; Anhui Center for Surveillance of Bacterial Resistance, Hefei, Anhui, China; Institute of Bacterial Resistance, Anhui Medical University, Hefei, Anhui, China.
| |
Collapse
|
25
|
Bühler N, Pralong M, Rawlinson C, Gonseth S, D’Acremont V, Bochud M, Bodenmann P. Caring During COVID-19: Reconfigurations of Gender and Family Relations During the Pandemic in Switzerland. Front Sociol 2021; 6:737619. [PMID: 34805350 PMCID: PMC8602910 DOI: 10.3389/fsoc.2021.737619] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/07/2021] [Accepted: 09/30/2021] [Indexed: 05/25/2023]
Abstract
COVID-19 caused major changes in private and public arenas. Individuals were forced to reorganise their daily lives in response to the restrictive measures imposed by governments. The redistribution of gender roles and the responsibility for care provides an example of the reconfigurations that took place during the pandemic. This article sheds light on the implications of the pandemic for gender inequalities by exploring how care work was reconfigured as women and men sought to protect family members and navigated risks of infection. The study is based on qualitative data - interviews and observations - gathered in an interdisciplinary medical anthropology project. In the article, the authors focus on seven cases selected from a larger corpus to illustrate how reconfigurations of the gendered division of care work within families shifted during the pandemic as men assumed greater moral responsibility for safeguarding family members, without infringing the norms of masculinity. The first part of the article explores the intensification of care activities during lockdown for women living in the Canton de Vaud in Switzerland. The second part centres on the moral responsibility and duty for women and men to protect family members from viral exposure. The results from the study confirm not only that most care activities continued to be delegated to female family members, but also that men's roles evolved. While their safeguarding role can be understood as a new form of caring for men, the findings suggest that it was essentially crisis specific and did not challenge masculinity norms. The extent to which this reconfiguration of gender roles might have a longer-term impact on gender inequalities remains to be seen. Meanwhile, these observations could have important implications for policies aimed at mitigating the medium and long-term effects of the pandemic on gender inequality.
Collapse
Affiliation(s)
- Nolwenn Bühler
- Department of Vulnerabilites and Social Medicine, Unisanté, University Center for Primary Care and Public Health, Lausanne, Switzerland
- Institute of Social Sciences, University of Lausanne, Lausanne, Switzerland
| | - Mélody Pralong
- Department of Vulnerabilites and Social Medicine, Unisanté, University Center for Primary Care and Public Health, Lausanne, Switzerland
- Institute of Social Sciences, University of Lausanne, Lausanne, Switzerland
| | - Cloé Rawlinson
- Department of Vulnerabilites and Social Medicine, Unisanté, University Center for Primary Care and Public Health, Lausanne, Switzerland
| | - Semira Gonseth
- Institute of Social Sciences, University of Lausanne, Lausanne, Switzerland
| | - Valérie D’Acremont
- Institute of Social Sciences, University of Lausanne, Lausanne, Switzerland
- Faculty of Biology and Medicine, University of Lausanne, Lausanne, Switzerland
| | - Murielle Bochud
- Institute of Social Sciences, University of Lausanne, Lausanne, Switzerland
- Faculty of Biology and Medicine, University of Lausanne, Lausanne, Switzerland
| | - Patrick Bodenmann
- Department of Vulnerabilites and Social Medicine, Unisanté, University Center for Primary Care and Public Health, Lausanne, Switzerland
- Faculty of Biology and Medicine, University of Lausanne, Lausanne, Switzerland
| |
Collapse
|
26
|
Vanderplanken K, Van den Broucke S, Aujoulat I, van Loenhout JAF. The Relation between Perceived and Actual Understanding and Adherence: Results from a National Survey on COVID-19 Measures in Belgium. Int J Environ Res Public Health 2021; 18:10200. [PMID: 34639503 DOI: 10.3390/ijerph181910200] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/24/2021] [Revised: 09/22/2021] [Accepted: 09/24/2021] [Indexed: 01/15/2023]
Abstract
To reduce the spread of COVID-19 among the population, Belgium has implemented various infection prevention and control measures over time. This study investigated the extent to which understanding of the COVID-19 measures contributed to adherence, and which personal characteristics were considered risk factors for lower adherence. It consisted of a large online survey among a sample of the population (n = 2008), representative of citizens of Belgium in terms of gender, age, province and socio-economic status. The survey was conducted in September 2020, and included questions on perceived and actual understanding of COVID-19 protective measures in place during that time, as well as past and future adherence to those measures. The results showed that both perceived and actual understanding contributed significantly to past as well as future adherence. Risk factors for perceived understanding included being male and belonging to a younger age group, while risk factors for actual understanding were speaking French (versus Dutch) and belonging to a lower socio-economic level. Communication about COVID-19 measures should put more focus on trying to improve the understanding of the measures, instead of only making them known, particularly for those who are less health literate and as such at risk of poor understanding.
Collapse
|
27
|
Adekoya MN, Adeyemi TE, Aikins EA. COVID-19 risks and extra- protective measures practised among Nigerian orthodontists and orthodontic residents. Niger Postgrad Med J 2021; 28:88-93. [PMID: 34494593 DOI: 10.4103/npmj.npmj_576_21] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
Background and Aims There is a high possibility of transmitting the coronavirus (severe acute respiratory syndrome coronavirus 2) in the orthodontic clinic because orthodontists and their patients are in very close contact when orthodontic care is being given. The aim of this study was to evaluate the knowledge and perception of Nigerian orthodontists and orthodontic residents about the risks of COVID-19 as well as the extra-protective infection control measures that need to be taken. Materials and Methods This was a descriptive, cross-sectional study. The questionnaires were distributed and retrieved from consenting participants through an online platform. The questionnaires were analysed using the Statistical Package for the Social Sciences software version 23. The results were presented in tables and charts. Results Out of a total of 90 members on the association's WhatsApp group as at the time the study was being conducted, a total of 48 respondents participated in this study. There were more females (60.4%) than males. Majority (97.9%) of the respondents agreed/strongly agreed that an infected patient could infect the orthodontic clinic staff members with COVID-19 while most were of the view that debonding (95.8%) and retainer delivery (70.8%) posed a risk for spread of the virus. More than half of the respondents (52.1%) considered it necessary to change N95 masks after each patient as an extra-protective measure against COVID-19. Conclusions Majority of the respondents knew about the risks that COVID-19 posed to different aspects of orthodontic practice and were also knowledgeable about some of the extra-protective measures that they should take. There is a need to improve the knowledge of the participants concerning the use of appropriate mouth rinses to reduce the risks of transmission of COVID-19 in the dental/orthodontic clinic.
Collapse
Affiliation(s)
- Monica N Adekoya
- Department of Child Dental Health, Faculty of Dental Sciences, College of Medical Sciences, University of Calabar, Nigeria/ University of Calabar Teaching Hospital, Calabar, Nigeria
| | - Tope Emmanuel Adeyemi
- Department of Child Dental Health, Faculty of Dentistry, College of Health Sciences, Bayero University, Kano/ Aminu Kano Teaching Hospital, Kano, Nigeria
| | - Elfleda Angelina Aikins
- Department of Child Dental Health, Faculty of Dentistry, College of Health Sciences, University of Port Harcourt Teaching Hospital/ University of Port Harcourt, Port Harcourt, Rivers State, Nigeria
| |
Collapse
|
28
|
Podhorecka M, Pyszora A, Woźniewicz A, Husejko J, Kędziora-Kornatowska K. Health and Protective Measures for Seniors during the COVID-19 Pandemic in the Opinion of Polish Society. Int J Environ Res Public Health 2021; 18:9230. [PMID: 34501830 DOI: 10.3390/ijerph18179230] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/29/2021] [Revised: 08/23/2021] [Accepted: 08/28/2021] [Indexed: 11/30/2022]
Abstract
The aim of the study was to determine the opinion of society on the individual care and protection measures towards seniors during the COVID-19 pandemic. In addition, the relationship of opinions with demographic data, knowledge about aging and own experience in contacts with the elderly was examined. The study involved 923 attendees from Poland. The tools used to assess the research problem were: demographic characteristics, a Facts on Aging Quiz (FAQ), the author’s questionnaire about preventive and protective measures for seniors during the COVID-19 pandemic. We observed that over 50% of participants were against designating shopping hours for seniors. The analysis showed that negative attitudes were more often expressed by women than by men; younger people and those declaring that they do not spend too much time with the elderly. In the matter of vaccination priority for the elderly, over 70% participants replied “rather yes” or “definitely yes”. The use of the age criterion in situations of limited access to medications and ventilators was supported mainly by learners, with high results of the FAQ, and professionals dealing with seniors. Finally, almost 56% of participants declared that their contacts with seniors were the same as before the pandemic, while merely 1.6% indicated that they avoid contact with them entirely.
Collapse
|
29
|
Wollina U, Kanitakis J, Baran R. Nails and COVID-19 - A comprehensive review of clinical findings and treatment. Dermatol Ther 2021; 34:e15100. [PMID: 34398500 PMCID: PMC8420555 DOI: 10.1111/dth.15100] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2021] [Revised: 08/01/2021] [Accepted: 08/13/2021] [Indexed: 12/19/2022]
Abstract
The SARS‐CoV‐2 infection, responsible for COVID‐19, has raised the interest for infection‐associated muco‐cutaneous symptoms. While dermatologic symptoms in general gained an increasing awareness, affection of the nail organ has been mentioned only recently. We provide a narrative review on COVID‐19 manifestation on the nail organ and add symptoms induced by personal protective measures and SARS‐CoV‐2 vaccination. Available treatment options are discussed.
Collapse
Affiliation(s)
- Uwe Wollina
- Department of Dermatology and Allergology, Städtisches Klinikum Dresden, Dresden, Germany
| | - Jean Kanitakis
- Dermatology Department, Edouard Herriot Hospital Group, (Pav. R), Hospices Civils de Lyon, Lyon, France
| | - Robert Baran
- Dermatology, Nail Disease Center, Cannes, France
| |
Collapse
|
30
|
Zhang C, Liao Y, Gao X, Zhao J, Yuan Y, Liao R. Research Advances of Soil Corrosion of Grounding Grids. Micromachines (Basel) 2021; 12:513. [PMID: 34063248 DOI: 10.3390/mi12050513] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/06/2021] [Revised: 04/28/2021] [Accepted: 04/29/2021] [Indexed: 11/24/2022]
Abstract
A grounding grid plays the role of discharging current and balancing voltage to ensure the safety of the power system. However, soil corrosion can damage the grounding grid, which then can endanger the safe operation of power system. This paper reviewed recent research advances of soil corrosion of grounding grid. The cause, mechanism, types, and influencing factors of soil corrosion of grounding grids were summarized, and the corresponding detection technology and protective measures were also introduced. The paper pointed out that soil corrosion is a serious threat to the grounding grid system. Moreover, the impact mechanism of AC stray current, new corrosion detection technology, and better protective measures still need in-depth research.
Collapse
|
31
|
Feng M, Ling Q, Xiong J, Manyande A, Xu W, Xiang B. Occupational Characteristics and Management Measures of Sporadic COVID-19 Outbreaks From June 2020 to January 2021 in China: The Importance of Tracking Down "Patient Zero". Front Public Health 2021; 9:670669. [PMID: 33996733 PMCID: PMC8119752 DOI: 10.3389/fpubh.2021.670669] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2021] [Accepted: 03/29/2021] [Indexed: 12/13/2022] Open
Abstract
There are occupational disparities in the risk of contracting COVID-19. Occupational characteristics and work addresses play key roles in tracking down “patient zero.” The present descriptive analysis for occupational characteristics and management measures of sporadic COVID-19 outbreaks from June to December 2020 in China offers important new information to the international community at this stage of the pandemic. These data suggest that Chinese measures including tracking down “patient zero,” launching mass COVID-19 testing in the SARS-CoV-2-positive areas, designating a new high- or medium-risk area, locking down the corresponding community or neighborhood in response to new COVID-19 cases, and basing individual methods of protection on science are effective in reducing the transmission of the highly contagious SARS-CoV-2 across China.
Collapse
Affiliation(s)
- Maohui Feng
- Department of Gastrointestinal Surgery, Wuhan Peritoneal Cancer Clinical Medical Research Center, Hubei Key Laboratory of Tumor Biological Behaviors, Hubei Cancer Clinical Study Center, Zhongnan Hospital of Wuhan University, Wuhan, China
| | - Qiong Ling
- Department of Anesthesiology, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China
| | - Jun Xiong
- Hepatobiliary Surgery Center, Union Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Anne Manyande
- School of Human and Social Sciences, University of West London, London, United Kingdom
| | - Weiguo Xu
- Department of Orthopedics, Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Boqi Xiang
- School of Public Health, University of Rutgers, New Brunswick, NJ, United States
| |
Collapse
|
32
|
Huang Q, Luo LS, Wang YY, Jin YH, Zeng XT. Gender Differences in Psychological and Behavioral Responses of Infected and Uninfected Health-Care Workers During the Early COVID-19 Outbreak. Front Public Health 2021; 9:638975. [PMID: 33777887 PMCID: PMC7990769 DOI: 10.3389/fpubh.2021.638975] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2020] [Accepted: 02/05/2021] [Indexed: 01/08/2023] Open
Abstract
Objective: Understanding gender differences in responses of health-care workers (HCWs) to COVID-19 outbreak is an effective way to promote customized supports. Methods: During February 2020, 103 HCWs infected with COVID-19 (64 females and 39 males) and 535 uninfected HCWs (383 females and 152 males) were recruited in a cross-sectional study. Level of attention, six emotional status, and self-evaluation of eight protective measures were recorded. Multivariable Firth's logistic regressions were applied to explored independent effect of gender. Results: During early outbreak, female HCWs were more likely to give greater attention, adjusted OR:1.92 (95%CI 1.14-3.23) in total HCWs. Higher proportion of anxiety was observed in female HCWs, adjusted OR:3.14 (95%CI 1.98-4.99) for total HCWs, 4.32(95%CI 1.32-14.15) for infected HCWs and 2.97 (1.78, 4.95) for uninfected HCWs. Proportion of pessimism, fear, full of fighting spirit, and optimism were low, and no gender differences were observed. During a later outbreak, a majority of HCWs reported being very familiar with eight protective measures. After training, a proportion of high self-evaluation in hand hygiene, wearing gloves, and surgical masks increased independently in female HCWs, and adjusted ORs were 3.07 (95% CI 1.57-5.99), 2.37 (95% CI 1.26-4.49), and 1.92 (95% CI 1.02-3.62), respectively. Infection status amplified gender difference in anxiety, hand hygiene, and glove wearing. Conclusion: Female HCWs perceived the outbreak seriously, effective emotional and psychological well-ness should be targeted at female HCWs preferentially, and male HCWs should be encouraged to express their feelings and be further trained.
Collapse
Affiliation(s)
- Qiao Huang
- Center for Evidence-Based and Translational Medicine, Zhongnan Hospital of Wuhan University, Wuhan, China
- Department of Evidence-Based Medicine and Clinical Epidemiology, Second School of Clinical Medicine, Wuhan University, Wuhan, China
| | - Li-Sha Luo
- Center for Evidence-Based and Translational Medicine, Zhongnan Hospital of Wuhan University, Wuhan, China
- Department of Evidence-Based Medicine and Clinical Epidemiology, Second School of Clinical Medicine, Wuhan University, Wuhan, China
| | - Yun-Yun Wang
- Center for Evidence-Based and Translational Medicine, Zhongnan Hospital of Wuhan University, Wuhan, China
- Department of Evidence-Based Medicine and Clinical Epidemiology, Second School of Clinical Medicine, Wuhan University, Wuhan, China
| | - Ying-Hui Jin
- Center for Evidence-Based and Translational Medicine, Zhongnan Hospital of Wuhan University, Wuhan, China
- Department of Evidence-Based Medicine and Clinical Epidemiology, Second School of Clinical Medicine, Wuhan University, Wuhan, China
| | - Xian-Tao Zeng
- Center for Evidence-Based and Translational Medicine, Zhongnan Hospital of Wuhan University, Wuhan, China
- Department of Evidence-Based Medicine and Clinical Epidemiology, Second School of Clinical Medicine, Wuhan University, Wuhan, China
| |
Collapse
|
33
|
Simon N, Odou P, Decaudin B, Bonnabry P, Fleury-Souverain S. Chemical Decontamination of Hazardous Drugs: A Comparison of Solution Performances. Ann Work Expo Health 2021; 64:114-124. [PMID: 31848570 DOI: 10.1093/annweh/wxz093] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2019] [Revised: 10/15/2019] [Accepted: 11/29/2019] [Indexed: 11/12/2022] Open
Abstract
OBJECTIVES Over the past 40 years, numerous actions have been undertaken to decrease the contamination of hospital facilities by intravenous conventional antineoplastic drugs (ICADs) such as centralizing compounding in pharmacies, using personal protective equipment, specific compounding, or infusion devices. As recently proposed in the <USP800> monograph, an additional specific decontamination step must be envisaged. A recent literature review analysed and discussed the different solutions tested in terms of decontamination efficacy. This article aims to discuss the performance of these solutions in the framework of aseptic compounding. METHODS The same dataset used in the previous literature review was reanalysed according to other parameters so as to select decontamination solutions: overall decontamination efficiency (EffQ), tested contaminants, and the risks of use in daily practice. RESULTS Using an EffQ threshold of 90% resulted in discarding 26 out of the 59 solutions. Solutions were tested differently: 8 on 1 contaminant, 11 on 2 contaminants, and 14 solutions on between 3 and 11 contaminants. Three risks were identified to help make choices in routine practice: the mutagenicity of degradation products, the safety of operators and facilities, and respect for the aseptic environment. CONCLUSIONS From the results, performance is discussed according to specific situations: a one-time incident or the basic chemical contamination due to daily practice. Accordingly, the decontamination solution selected then required a risk analysis and an evaluation before implementing it in the daily practice of a compounding unit.
Collapse
Affiliation(s)
- Nicolas Simon
- Pharmacy, Geneva University Hospitals and School of Pharmaceutical Sciences, University of Geneva, University of Lausanne, Geneva, Switzerland.,Univ. Lille, CHU Lille, EA 7365-GRITA-Groupe de Recherche sur les Formes Injectables et les Technologies Associées, Lille, France
| | - Pascal Odou
- Univ. Lille, CHU Lille, EA 7365-GRITA-Groupe de Recherche sur les Formes Injectables et les Technologies Associées, Lille, France
| | - Bertrand Decaudin
- Univ. Lille, CHU Lille, EA 7365-GRITA-Groupe de Recherche sur les Formes Injectables et les Technologies Associées, Lille, France
| | - Pascal Bonnabry
- Pharmacy, Geneva University Hospitals and School of Pharmaceutical Sciences, University of Geneva, University of Lausanne, Geneva, Switzerland
| | - Sandrine Fleury-Souverain
- Pharmacy, Geneva University Hospitals and School of Pharmaceutical Sciences, University of Geneva, University of Lausanne, Geneva, Switzerland
| |
Collapse
|
34
|
Wolf TG, Zeyer O, Campus G. COVID-19 in Switzerland and Liechtenstein: A Cross-Sectional Survey among Dentists' Awareness, Protective Measures and Economic Effects. Int J Environ Res Public Health 2020; 17:ijerph17239051. [PMID: 33291659 PMCID: PMC7730085 DOI: 10.3390/ijerph17239051] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/24/2020] [Revised: 12/01/2020] [Accepted: 12/02/2020] [Indexed: 12/17/2022]
Abstract
The aim of this observational cross-sectional study was to gain information on the awareness; protective measures and economic effects of dentists in Switzerland during the global COVID-19 pandemic. All dentist were members of the Swiss Dental Association SSO from all over Switzerland—including all Swiss cantons and Liechtenstein—and received a previously calibrated questionnaire as an ad hoc online version. The questionnaire was divided into four parts: personal data; precautionary measures; awareness; perception. In total, 1324 questionnaires were analyzed; the response rate was 30.59% (ntotal = 4328). Participants stated in less than 2% common symptoms/signs of COVID-19; of which only fatigue was statistically significant (p < 0.01). A small number of dentists reported a positive test (0.91%; n = 12) or having one or more symptoms (2.65%; n = 35) of COVID-19 during the pandemic; whereas only 6.71% (n = 87) of the participants reported having treated SARS-CoV-2 infected patients. High prevalence areas were only medium-large and large Swiss cantons (p < 0.01). Face filter (FFP2/FFP3) masks were used by about half of the dentists, while disposable visor was rarely used. The majority of dentists had to reduce the dental practice activity to a minimum of 0–10% (n = 923; 69.98%) due to the lockdown. This economic impact forced 1.4% (n = 18) to close their practice permanently or by the end of 2020 due to the economic situation. These results can be helpful to better prepare dental practices for future outbreaks of infection (e.g., prophylactic storage of additional protective measures), define the best strategy and organize the dental workforce. Political decision-makers should consider drastic economic effects when deciding on drastic measures such as “lockdown”, which can lead to practice closures and unemployment of dental staff after only a few weeks. This should be taken into account, especially with regard to possible financial assistance to severely impaired dental practices to maintain a high level of dental care.
Collapse
Affiliation(s)
- Thomas Gerhard Wolf
- Department of Restorative, Preventive and Pediatric Dentistry, School of Dental Medicine, University of Bern, CH-3010 Bern, Switzerland;
- Department of Periodontology and Operative Dentistry, University Medical Center of the Johannes Gutenberg-University Mainz, 55131 Mainz, Germany
- Correspondence: ; Tel.: +41-31-632-35-80
| | - Oliver Zeyer
- Swiss Dental Association SSO, CH-3000 Bern, Switzerland;
| | - Guglielmo Campus
- Department of Restorative, Preventive and Pediatric Dentistry, School of Dental Medicine, University of Bern, CH-3010 Bern, Switzerland;
- Department of Medicine, Surgery and Experimental Sciences, School of Dentistry, University of Sassari, I-07100 Sassari, Italy
- Faculty of Dentistry, Sechenov First Moscow State Medical University, Moscow 119991, Russia
| |
Collapse
|
35
|
Renaud-Picard B, Gallais F, Riou M, Chatron E, Degot T, Freudenberger S, Porzio M, Schuller A, Stauder J, Hirschi S, Kessler R. The social and clinical impact of the COVID-19 epidemic on the Strasbourg lung transplant cohort: A single-center retrospective cohort study. Clin Transplant 2020; 34:e14119. [PMID: 33048391 PMCID: PMC7646014 DOI: 10.1111/ctr.14119] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2020] [Revised: 09/12/2020] [Accepted: 09/30/2020] [Indexed: 12/11/2022]
Abstract
The clinical and social impacts of the COVID-19 epidemic on lung transplant (LTx) recipients remain poorly known. We aimed to evaluate its social, clinical, and behavioral consequences on the LTx patients followed in Strasbourg university hospital. A questionnaire was used to collect details concerning patients' lifestyles, their protection methods used to avoid COVID-19 contamination, and clinical infection-related information for March 2020. A specific score was created to quantify patients' contacts and the associated risk of infectious contagion. Data were collected from 322 patients (91.2%). A majority reported a higher application than usual of social distancing and barrier measures. 43.8% described infectious-related symptoms and 15.8% needed an anti-infective treatment. There was no difference in symptom onset according to age, native lung disease, diabetes, or obesity. Nineteen patients were tested for COVID-19, and four were diagnosed positive, all with a favorable outcome. The infection risk contact score was higher for symptomatic patients (p: 0.007), those needing extra-medical appointments (p < .001), and those receiving anti-infective treatments (p = .02). LTx patients reported a careful lifestyle and did not seem at higher risk for COVID-19. Our score showed encouraging preliminary results and could become a useful tool for the usual infection-related follow-up of the LTx patients.
Collapse
Affiliation(s)
- Benjamin Renaud-Picard
- Respiratory Medicine and Strasbourg Lung Transplant Program, Hôpitaux universitaires de Strasbourg, Strasbourg, France.,Faculty of Medicine, Federation of Translational Medicine (FMTS), Strasbourg, France
| | - Floriane Gallais
- Laboratory of Virology, Hôpitaux universitaires de Strasbourg, Strasbourg, France
| | - Marianne Riou
- Respiratory Medicine and Strasbourg Lung Transplant Program, Hôpitaux universitaires de Strasbourg, Strasbourg, France.,Faculty of Medicine, Federation of Translational Medicine (FMTS), Strasbourg, France
| | - Eva Chatron
- Respiratory Medicine and Strasbourg Lung Transplant Program, Hôpitaux universitaires de Strasbourg, Strasbourg, France.,Faculty of Medicine, Federation of Translational Medicine (FMTS), Strasbourg, France
| | - Tristan Degot
- Respiratory Medicine and Strasbourg Lung Transplant Program, Hôpitaux universitaires de Strasbourg, Strasbourg, France
| | - Sophie Freudenberger
- Respiratory Medicine and Strasbourg Lung Transplant Program, Hôpitaux universitaires de Strasbourg, Strasbourg, France
| | - Michele Porzio
- Respiratory Medicine and Strasbourg Lung Transplant Program, Hôpitaux universitaires de Strasbourg, Strasbourg, France.,Faculty of Medicine, Federation of Translational Medicine (FMTS), Strasbourg, France
| | - Armelle Schuller
- Respiratory Medicine and Strasbourg Lung Transplant Program, Hôpitaux universitaires de Strasbourg, Strasbourg, France
| | - Julien Stauder
- Respiratory Medicine and Strasbourg Lung Transplant Program, Hôpitaux universitaires de Strasbourg, Strasbourg, France
| | - Sandrine Hirschi
- Respiratory Medicine and Strasbourg Lung Transplant Program, Hôpitaux universitaires de Strasbourg, Strasbourg, France
| | - Romain Kessler
- Respiratory Medicine and Strasbourg Lung Transplant Program, Hôpitaux universitaires de Strasbourg, Strasbourg, France.,Faculty of Medicine, Federation of Translational Medicine (FMTS), Strasbourg, France
| |
Collapse
|
36
|
Machida M, Nakamura I, Saito R, Nakaya T, Hanibuchi T, Takamiya T, Odagiri Y, Fukushima N, Kikuchi H, Amagasa S, Kojima T, Watanabe H, Inoue S. Incorrect Use of Face Masks during the Current COVID-19 Pandemic among the General Public in Japan. Int J Environ Res Public Health 2020; 17:E6484. [PMID: 32899922 DOI: 10.3390/ijerph17186484] [Citation(s) in RCA: 28] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/18/2020] [Revised: 08/30/2020] [Accepted: 09/02/2020] [Indexed: 12/20/2022]
Abstract
Since the emergence of the COVID-19 pandemic, the use of face masks by healthy individuals for prevention has been attracting public attention. However, efficacy depends on proper usage. We set out to determine the prevalence of wearing masks to prevent COVID-19 and compliance with appropriate measures for the correct use of face masks among the general public in Japan where wearing medical masks is a "cultural" normality. This cross-sectional study was based on an internet-based survey completed by 2141 people (50.8% men, aged 20-79 years) who were selected among registrants of an Internet research company between 1 April and 6 April 2020. Participants were asked to indicate how often they wore masks for prevention and to what extent they practiced appropriate measures suggested by the World Health Organization. The prevalence of wearing masks was 80.9% and compliance rates with appropriate measures ranged from 38.3% to 83.5%. Only 23.1% complied with all recommendations. Compliance rates were overall low in men and persons with low household incomes. Our results, hence show that many citizens implement inaccurate measures when using face masks. Therefore, providing guidance on correct usage is essential when encouraging the use of face masks to prevent COVID-19.
Collapse
|
37
|
de la Rosette J, Laguna P, Álvarez-Maestro M, Eto M, Mochtar CA, Albayrak S, Mendoza-Valdes A, Ong TA, Khadgi S, Al-Terki A, Bolton D, Gomez R, Klotz L, Kulkarni S, Tanguay S, Gravas S. Cross-continental comparison of safety and protection measures amongst urologists during COVID-19. Int J Urol 2020; 27:981-989. [PMID: 32772434 PMCID: PMC7436488 DOI: 10.1111/iju.14340] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2020] [Accepted: 07/06/2020] [Indexed: 01/15/2023]
Abstract
Objectives To determine the well‐being of urologists worldwide during the coronavirus disease 2019 pandemic, and whether they have adequate personal protective equipment knowledge and supplies appropriate to their clinical setting. Methods Urologists worldwide completed a Société Internationale d’Urologie online survey from 16 April 2020 until 1 May 2020. Analysis was carried out to evaluate their knowledge about protecting themselves and others in the workplace, including their confidence in their ability to remain safe at work, and any regional differences. Results There were 3488 respondents from 109 countries. Urologists who stated they were moderately comfortable that their work environment offers good protection against coronavirus disease 2019 showed a total mean satisfaction level of 5.99 (on a “0 = not at all” to “10 = very” scale). A large majority (86.33%) were confident about protecting themselves from coronavirus disease 2019 at work. However, only about one‐third reported their institution provided the required personal protective equipment (35.78%), and nearly half indicated their hospital has or had limited personal protective equipment availability (48.08%). Worldwide, a large majority of respondents answered affirmatively for testing the healthcare team (83.09%). Approximately half of the respondents (52.85%) across all regions indicated that all surgical team members face an equal risk of contracting coronavirus disease 2019 (52.85%). Nearly one‐third of respondents reported that they had experienced social avoidance (28.97%). Conclusions Our results show that urologists lack up‐to‐date knowledge of preferred protocols for personal protective equipment selection and use, social distancing, and coronavirus disease 2019 testing. These data can provide insights into functional domains from which other specialties could also benefit.
Collapse
Affiliation(s)
- Jean de la Rosette
- Department of Urology, Faculty of Medicine, Istanbul Medipol University, Istanbul, Turkey
| | - Pilar Laguna
- Department of Urology, Faculty of Medicine, Istanbul Medipol University, Istanbul, Turkey
| | - Mario Álvarez-Maestro
- Department of Urology, La Paz University Hospital, Instituto de Investigación, Madrid, Spain
| | - Masatoshi Eto
- Department of Urology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
| | - Chaidir Arif Mochtar
- Department of Urology, Cipto Mangunkusumo Hospital, Faculty of Medicine, University of Indonesia, Jakarta, Indonesia
| | - Selami Albayrak
- Department of Urology, Faculty of Medicine, Istanbul Medipol University, Istanbul, Turkey
| | | | - Teng Aik Ong
- Department of Surgery, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
| | - Sanjay Khadgi
- Department of Urology, Vayodha Hospitals, Kathmandu, Nepal
| | | | - Damien Bolton
- Department of Urology, The Austin Health, University of Melbourne, Melbourne, Victoria, Australia
| | - Reynaldo Gomez
- Universidad Andrés Bello, Hospital del Trabajador, Santiago, Chile
| | - Laurence Klotz
- Division of Urology, Sunnybrook Health Sciences Center, Toronto, Ontario, Canada
| | | | - Simon Tanguay
- Division of Urology, Department of Surgery, McGill University, Montreal, Quebec, Canada
| | - Stavros Gravas
- Department of Urology, Faculty of Medicine, School of Health Sciences, University of Thessaly, Larissa, Greece
| | | |
Collapse
|
38
|
Machida M, Nakamura I, Saito R, Nakaya T, Hanibuchi T, Takamiya T, Odagiri Y, Fukushima N, Kikuchi H, Amagasa S, Kojima T, Watanabe H, Inoue S. The actual implementation status of self-isolation among Japanese workers during the COVID-19 outbreak. Trop Med Health 2020; 48:63. [PMID: 32765185 PMCID: PMC7396451 DOI: 10.1186/s41182-020-00250-7] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2020] [Accepted: 07/21/2020] [Indexed: 12/23/2022] Open
Abstract
Background Self-isolation is an important personal protective measure in inhibiting the transmission of coronavirus disease 2019 (COVID-19) as people carry out economic and social activities amid its spread. Yet few studies have clarified the actual implementation status of self-isolation during an outbreak. This study aimed to reveal the actual implementation of self-isolation among Japanese workers during the COVID-19 outbreak and the factors inhibiting this measure. Methods This was a cross-sectional study based on an internet survey completed by 1,226 workers (60.0% men) living in 7 prefectures (i.e., Tokyo, Kanagawa, Saitama, Chiba, Ibaraki, Tochigi, and Gunma) who were selected among registrants of an Internet research company, between May 12 and 17, 2020. Participants were asked whether they had experienced fever or other cold symptoms between February 17, 2020 and the date of the survey. Those who responded affirmatively were asked where they had visited (e.g., hospital, work, and shopping for groceries or necessities) to clarify whether they had left the house within 7 days after symptom onset. We performed multivariate logistic regression analysis to clarify the relationship between going to work within 7 days after symptom onset and both sociodemographic factors and employment-related constraints. Results Of the survey participants, 82 had experienced fever or other cold symptoms (6.7%). Among these participants, 51 (62.2%) went to work within 7 days after symptom onset. A mere 17.1% practiced strict self-isolation. Multivariate logistic regression analysis revealed that those living outside the metropolitan area (i.e., Ibaraki, Tochigi, and Gunma), working as a company employee, and being unable to work from home were associated with going to work within 7 days after symptom onset. Conclusions The prevalence of strict self-isolation among participants who experienced cold-like symptoms during the COVID-19 outbreak was extremely low, and 62.2% of these participants went to work within 7 days after symptom onset. This study highlights the need for further public awareness regarding self-isolation and countermeasures against factors that obstruct it.
Collapse
Affiliation(s)
- Masaki Machida
- Department of Preventive Medicine and Public Health, Tokyo Medical University, 6-1-1 Shinjuku, Shinjuku-ku, Tokyo, 160-8402 Japan.,Department of Infection Prevention and Control, Tokyo Medical University Hospital, 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo, 160-0023 Japan
| | - Itaru Nakamura
- Department of Infection Prevention and Control, Tokyo Medical University Hospital, 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo, 160-0023 Japan
| | - Reiko Saito
- Division of International Health (Public Health), Graduate School of Medical and Dental Sciences, Niigata University, 1-757, Asahimachi-dori, Niigata, Niigata 951-8510 Japan
| | - Tomoki Nakaya
- Graduate School of Environmental Studies, Tohoku University, Aoba, 468-1, Aramaki, Aoba-ku, Sendai, Miyagi 980-0845 Japan
| | - Tomoya Hanibuchi
- Graduate School of Environmental Studies, Tohoku University, Aoba, 468-1, Aramaki, Aoba-ku, Sendai, Miyagi 980-0845 Japan
| | - Tomoko Takamiya
- Department of Preventive Medicine and Public Health, Tokyo Medical University, 6-1-1 Shinjuku, Shinjuku-ku, Tokyo, 160-8402 Japan
| | - Yuko Odagiri
- Department of Preventive Medicine and Public Health, Tokyo Medical University, 6-1-1 Shinjuku, Shinjuku-ku, Tokyo, 160-8402 Japan
| | - Noritoshi Fukushima
- Department of Preventive Medicine and Public Health, Tokyo Medical University, 6-1-1 Shinjuku, Shinjuku-ku, Tokyo, 160-8402 Japan
| | - Hiroyuki Kikuchi
- Department of Preventive Medicine and Public Health, Tokyo Medical University, 6-1-1 Shinjuku, Shinjuku-ku, Tokyo, 160-8402 Japan
| | - Shiho Amagasa
- Department of Preventive Medicine and Public Health, Tokyo Medical University, 6-1-1 Shinjuku, Shinjuku-ku, Tokyo, 160-8402 Japan
| | - Takako Kojima
- Department of International Medical Communications, Tokyo Medical University, 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo, 160-0023 Japan
| | - Hidehiro Watanabe
- Department of Infection Prevention and Control, Tokyo Medical University Hospital, 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo, 160-0023 Japan
| | - Shigeru Inoue
- Department of Preventive Medicine and Public Health, Tokyo Medical University, 6-1-1 Shinjuku, Shinjuku-ku, Tokyo, 160-8402 Japan
| |
Collapse
|
39
|
Campus G, Diaz-Betancourt M, Cagetti MG, Carvalho JC, Carvalho TS, Cortés-Martinicorena JF, Deschner J, Douglas GVA, Giacaman R, Machiulskiene V, Manton DJ, Raggio DP, Ramos-Gomez F, Sava-Rosianu R, Morozova NS, Spagnuolo G, Vukovic A, Wolf TG, On Behalf Of The COVIDental Collaboration Group. Study Protocol for an Online Questionnaire Survey on Symptoms/Signs, Protective Measures, Level of Awareness and Perception Regarding COVID-19 Outbreak among Dentists. A Global Survey. Int J Environ Res Public Health 2020; 17:E5598. [PMID: 32756475 DOI: 10.3390/ijerph17155598] [Citation(s) in RCA: 23] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/22/2020] [Revised: 07/27/2020] [Accepted: 07/30/2020] [Indexed: 11/16/2022]
Abstract
The Centres for Disease Control and Prevention and the World Health Organization have developed preparedness and prevention checklists for healthcare professionals regarding the containment of COVID-19. The aim of the present protocol is to evaluate the impact of the COVID-19 outbreak among dentists in different countries where various prevalence of the epidemic has been reported. Several research groups around the world were contacted by the central management team. The online anonymous survey will be conducted on a convenience sample of dentists working both in national health systems and in private or public clinics. In each country/area, a high (~5–20%) proportion of dentists working there will be invited to participate. The questionnaire, developed and standardized previously in Italy, has four domains: (1) personal data; (2) symptoms/signs relative to COVID-19; (3) working conditions and PPE (personal protective equipment) adopted after the infection’s outbreak; (4) knowledge and self-perceived risk of infection. The methodology of this international survey will include translation, pilot testing, and semantic adjustment of the questionnaire. The data will be entered on an Excel spreadsheet and quality checked. Completely anonymous data analyses will be performed by the central management team. This survey will give an insight into the dental profession during COVID-19 pandemic globally.
Collapse
|
40
|
Cagetti MG, Cairoli JL, Senna A, Campus G. COVID-19 Outbreak in North Italy: An Overview on Dentistry. A Questionnaire Survey. Int J Environ Res Public Health 2020; 17:E3835. [PMID: 32481672 DOI: 10.3390/ijerph17113835] [Citation(s) in RCA: 81] [Impact Index Per Article: 20.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/28/2020] [Revised: 05/23/2020] [Accepted: 05/25/2020] [Indexed: 12/20/2022]
Abstract
This survey assessed the symptoms/signs, protective measures, awareness, and perception levels regarding COVID-19 among dentists in Lombardy, Italy. Moreover, an analysis of the answers gathered in areas with different prevalence of the disease was carried out. All Lombardy’s dentists were sent an online ad hoc questionnaire. The questionnaire was divided into four domains: personal data, precautionary measures (before patient arrival; in the waiting room; in the operating room), awareness, and perception. Three thousand five hundred ninety-nine questionnaires were analyzed. Five hundred two (14.43%) participants had suffered one or more symptoms referable to COVID-19. Thirty-one subjects were positive to the virus SARS-CoV-2 and 16 subjects developed the disease. Only a small number of dentists (n = 72, 2.00%) were confident of avoiding infection; dentists working in low COVID-19 prevalence areas were more confident than those working in the Milan area and high prevalence area (61.24%, 61.23%, and 64.29%, p < 0.01 respectively). The level of awareness was statistically significantly higher (p < 0.01) in the Milan area (71.82%) than in the other areas. This survey demonstrated that dentists in the COVID-19 highest prevalence area, albeit reported to have more symptoms/signs than the rest of the sample, were the ones who adopted several precautionary measures less frequently and were the more confident of avoiding infection.
Collapse
|
41
|
Huang Y, Li M. Optimization of Precontrol Methods and Analysis of a Dynamic Model for Brucellosis: Model Development and Validation. JMIR Med Inform 2020; 8:e18664. [PMID: 32459180 PMCID: PMC7287712 DOI: 10.2196/18664] [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] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2020] [Revised: 03/21/2020] [Accepted: 03/23/2020] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Brucella is a gram-negative, nonmotile bacterium without a capsule. The infection scope of Brucella is wide. The major source of infection is mammals such as cattle, sheep, goats, pigs, and dogs. Currently, human beings do not transmit Brucella to each other. When humans eat Brucella-contaminated food or contact animals or animal secretions and excretions infected with Brucella, they may develop brucellosis. Although brucellosis does not originate in humans, its diagnosis and cure are very difficult; thus, it has a huge impact on humans. Even with the rapid development of medical science, brucellosis is still a major problem for Chinese people. Currently, the number of patients with brucellosis in China is 100,000 per year. In addition, due to the ongoing improvement in the living standards of Chinese people, the demand for meat products has gradually increased, and increased meat transactions have greatly promoted the spread of brucellosis. Therefore, many researchers are concerned with investigating the transmission of Brucella as well as the diagnosis and treatment of brucellosis. Mathematical models have become an important tool for the study of infectious diseases. Mathematical models can reflect the spread of infectious diseases and be used to study the effect of different inhibition methods on infectious diseases. The effect of control measures to obtain effective suppression can provide theoretical support for the suppression of infectious diseases. Therefore, it is the objective of this study to build a suitable mathematical model for brucellosis infection. OBJECTIVE We aimed to study the optimized precontrol methods of brucellosis using a dynamic threshold-based microcomputer model and to provide critical theoretical support for the prevention and control of brucellosis. METHODS By studying the transmission characteristics of Brucella and building a Brucella transmission model, the precontrol methods were designed and presented to the key populations (Brucella-susceptible populations). We investigated the utilization of protective tools by the key populations before and after precontrol methods. RESULTS An improvement in the amount of glove-wearing was evident and significant (P<.001), increasing from 51.01% before the precontrol methods to 66.22% after the precontrol methods, an increase of 15.21%. However, the amount of hat-wearing did not improve significantly (P=.95). Hat-wearing among the key populations increased from 57.3% before the precontrol methods to 58.6% after the precontrol methods, an increase of 1.3%. CONCLUSIONS By demonstrating the optimized precontrol methods for a brucellosis model built on a dynamic threshold-based microcomputer model, this study provides theoretical support for the suppression of Brucella and the improved usage of protective measures by key populations.
Collapse
Affiliation(s)
- Yihao Huang
- School of Computer and Information Technology, Shanxi University, Taiyuan, China.,Complex Systems Research Center, Shanxi University, Taiyuan, China
| | - Mingtao Li
- College of Mathematics, Shanxi University of Technology, Taiyuan, China
| |
Collapse
|
42
|
Michaelis M, Hofmann FM, Nienhaus A, Eickmann U. Surgical Smoke-Hazard Perceptions and Protective Measures in German Operating Rooms. Int J Environ Res Public Health 2020; 17:ijerph17020515. [PMID: 31947535 PMCID: PMC7013471 DOI: 10.3390/ijerph17020515] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/20/2019] [Revised: 01/08/2020] [Accepted: 01/10/2020] [Indexed: 12/29/2022]
Abstract
(1) Background: Hazardous substances in surgical smoke that is generated during laser or electrosurgery pose a potential health hazard. In Germany, the Technical Rules for Hazardous Substances (TRGS 525) have included recommendations for appropriate protective measures since 2014. Up to now, no empirical data has been available on the extent to which recommendations have been implemented in practice. (2) Methods: In 2018, 7089 surgeons in hospitals and outpatient practices were invited by email to participate in an online survey. In addition, 219 technical assistants were interviewed. The questionnaire dealt with knowledge of, and attitudes toward, the hazard potential of surgical smoke, as well as the availability and actual use of protective measures. Furthermore, manufacturers and distributors of smoke extraction devices were asked to give their assessment of the development of prevention in recent years. (3) Results: The survey response rate was 5% (surgeons) and 65% (technical assistant staff). Half of all surgeons assumed that there were high health hazards of surgical smoke without taking protective measures. Operating room nurses were more often concerned (88%). Only a few felt properly informed about the topic. The TRGS recommendations had been read by a minority of the respondents. In total, 52% of hospital respondents and 65% of the respondents in outpatient facilities reported any type of special suction system to capture surgical smoke. One-fifth of respondents from hospitals reported that technical measures had improved since the introduction of the TRGS 525. Fifty-one percent of the surgeons in hospitals and 70% of the surgeons in outpatient facilities "mostly" or "always" paid attention to avoiding surgical smoke. The most important reason for non-compliance with recommendations was a lack of problem awareness or thoughtlessness. Twelve industrial interviewees who assessed the situation and the development of prevention in practice largely confirmed the prevention gaps observed; only slight developments were observed in recent years. (4) Conclusions: The low response rate among surgeons and the survey results both indicate a major lack of interest and knowledge. Among other measures, team interventions with advanced training are needed in the future.
Collapse
Affiliation(s)
- Martina Michaelis
- Research Centre for Occupational and Social Medicine (FFAS), 79098 Freiburg, Germany; (M.M.); (F.M.H.)
| | - Felix Martin Hofmann
- Research Centre for Occupational and Social Medicine (FFAS), 79098 Freiburg, Germany; (M.M.); (F.M.H.)
| | - Albert Nienhaus
- Department of Occupational Medicine, Hazardous Substances and Health Sciences, German Statutory Accident Insurance and Prevention in the Health and Welfare Services (BGW), 20357 Hamburg, Germany
- Competence Center for Epidemiology and Health Services Research for Dermatology and Nursing (IVDP), University Medical Center, 20251 Hamburg-Eppendorf, Germany
- Correspondence: or
| | - Udo Eickmann
- Department of Occupational Medicine, Hazardous Substances and Health Sciences, German Statutory Accident Insurance and Prevention in the Health and Welfare Services (BGW), Hazardous Substances and Toxicology Division, 50968 Cologne, Germany;
| |
Collapse
|
43
|
Maguire PA, Reay RE, Looi JC. Nothing to sneeze at - uptake of protective measures against an influenza pandemic by people with schizophrenia: willingness and perceived barriers. Australas Psychiatry 2019; 27:171-178. [PMID: 30501496 PMCID: PMC7227129 DOI: 10.1177/1039856218815748] [Citation(s) in RCA: 34] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
OBJECTIVES To examine willingness to adopt protective behaviours, and perceived barriers, during a pandemic influenza, in people with schizophrenia. METHODS A cross-sectional study using a questionnaire was conducted exploring the responses of 71 adults with schizophrenia and 238 adults without schizophrenia attending a general practice setting, regarding willingness and perceived barriers to adopting protective measures against the 2009 swine influenza pandemic in Australia. RESULTS The majority of participants with schizophrenia reported that they would be at least moderately willing to be vaccinated (74.2%), isolate themselves (73.2%), wear a face mask (54.9%) and increase hand washing (88.6%). However, 71.8% were concerned about "catching" flu from vaccination. Predictors of willingness to adopt protective actions included self-efficacy (vaccination, face mask, isolation), perceived likelihood of contracting swine flu (vaccination), educational status (face mask) and perceived overall risk from swine flu (face mask). Key modifiable perceived barriers to adopting protective measures were identified, including cost and need for transport assistance for vaccination. CONCLUSIONS People with schizophrenia report being generally willing to adopt protective measures, especially increased hand washing, during a pandemic influenza. Understanding perceived barriers may enable development of effective interventions to increase uptake of protective measures.
Collapse
Affiliation(s)
- Paul A Maguire
- Lecturer and Acting Co-Deputy Head, Academic Unit of Psychiatry and Addiction Medicine, Australian National University Medical School, Canberra, ACT, Australia
| | - Rebecca E Reay
- Senior Research Coordinator and Lecturer, Academic Unit of Psychiatry and Addiction Medicine, Australian National University Medical School, Canberra, ACT, Australia
| | - Jeffrey Cl Looi
- Associate Professor and Acting Head, Academic Unit of Psychiatry and Addiction Medicine, Australian National University Medical School, Garran, ACT, and; Clinical Associate Professor, Department of Psychiatry, Royal Melbourne Hospital, Melbourne, VIC, and; Director, Research Centre for the Neurosciences of Ageing, Canberra Hospital, Canberra, ACT, Australia
| |
Collapse
|
44
|
Ding HM, Zhou XP, Huang JZ. [Occupational exposure investigation and protective measures in a tertiary infectious disease hospital]. Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi 2018; 36:134-136. [PMID: 29699015 DOI: 10.3760/cma.j.issn.1001-9391.2018.02.014] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To investigate the cause of occupational exposure among 136 nurses in a tertiary infectious disease hospital, and puts forward the prevention strategy. Methods: A total of 136 nurses exposed to occupational exposure between 2014 and 2016 were included in the study. Analysis was conducted from the years of work of nurses, exposure routes, and the pathogens. Results: The nurses suffer from the highest risk of occupational exposures (73.91%) .Nurses working for less than 5 years and interns are most likely to suffer occupational exposure (45.59% and 35.29% respectively) . Occupational exposure was mainly caused by needle injuries, in which infusion was the main route of occupational exposure (36.76%) . The improper treatment of needle pulling after infusion is the main link of needle puncture (36.76%) . Occupational exposure pathogens were mainly HBV (63.24%) . Conclusion: Nursing staff is the high-risk group of occupational exposure. Irregular operation, lack of awareness of protection, improper disposal after the needle withdrawal and poor safety assessment of the operating environment are the main causes of occupational exposure. It is suggested to strengthen the training of occupational safety and protection, enhance clinical nurses occupational safety protection consciousness, standardize medical operation, so as to prevent the occurrence of occupational exposure.
Collapse
Affiliation(s)
- H M Ding
- NO.2 People's Hospital of Fuyang City, Fuyang 236015, China
| | | | | |
Collapse
|
45
|
Abstract
Objective: In this paper, cavity experiences of children with different levels of eruption and cavity activities that are enrolled at an elementary school with semi-rural characteristics in Kırıkkale Provincial center were monitored for 2 years after a variety of protective applications. Materials and Methods: Three hundred and twenty-two children at the age of 7–11 were included in this study. Children were grouped as follows according to their cavity experiences and applications done: Group 1 - control group (with or without cavities) – was given hygiene training only; Group 2 - with medium level cavity activity (2–4 cavities in average) – oral hygiene training + surface restoration applied; Group 3 - children with 2–4 cavities on average – oral hygiene training + professional flour gel applied; Group 4 - children with 2–4 cavities in average – oral hygiene training + flour gel applied with brush; Group 5 - children with extreme cavity activity (children with 5 or more cavities) – oral hygiene training + surface restoration + professional flour gel combination applied. Results: At the end of the 2nd year, 277 children were reached. The increase of number of cavities in permanent teeth was determined as 35%, 0%, 1%, 0%, and 7% in groups 1–5, respectively. The difference between groups was found to be significant (Chi-square analysis, Pearson Chi-square = 27.002, P < 0.01). Conclusion: These findings have showed that, in Kırıkkale Provincial center, some cavity-preventive measures such as surface restoration and gel applications, along with hygiene training, could provide optimum protection for school-age children.
Collapse
Affiliation(s)
- Coruh Turksel Dulgergil
- Department of Restorative Dentistry, Kirikkale University School of Dentistry, Kirikkale, Turkiye
| | - Ertugrul Ercan
- Department of Restorative Dentistry, Kirikkale University School of Dentistry, Kirikkale, Turkiye
| | - Hakan Colak
- Department of Restorative Dentistry, Zirve University School of Dentistry, Gaziantep, Turkiye
| |
Collapse
|
46
|
Abstract
BACKGROUND Little research has been focused on the health status or the occupational protection awareness of sanitation workers. The policy recommendations on the occupational safety and health of sanitation workers based on the scientific research are also insufficient in developing countries like China. OBJECTIVE To study the incidence of dermatoses and the relevance with occupational exposure, protection awareness and protective measures among sanitation workers for better management and protection of the sanitation workers. METHODS 273 sanitation workers and 113 administrative staff from 11 streets of Wuhan were recruited. Dermatological problems were evaluated and recorded by physical examination. Occupational exposure, protection awareness, the use of protective equipments and personal history of skin disease were assessed by questionnaires. RESULTS Compared with administrative staff, sanitation workers had much more occupational dermatological problems and had a much higher rate of harmful ultraviolet ray exposure. Young sanitation workers were more aware of occupational self-protection and a relatively higher rate of them using protective equipments compared with old ones. CONCLUSION Exposure to multiple health hazards and the poor use of protective equipments are related to skin diseases in sanitation workers. Prejob training of self-protection and the use of protective equipments are recommended.
Collapse
|
47
|
Mollaoğlu M, Bolayir E. Injuries in Patients with Epilepsy and Some Factors Associated with Injury. Noro Psikiyatr Ars 2013; 50:269-273. [PMID: 28360554 DOI: 10.4274/npa.y6632] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Received: 04/27/2012] [Accepted: 06/10/2012] [Indexed: 12/01/2022]
Abstract
INTRODUCTION The aim of the study was to evaluate injuries in patients with epilepsy and some factors associated with injury. METHODS This study included 126 epileptic patients who attended a neurology outpatient clinic of a hospital between March 2009 and March 2010. Data were collected using a patient information form and an injury evaluation form. The data were evaluated using percentage, mean and the Chi square test. RESULT 82.5% of patients have sustained injury due to an epileptic seizure. Soft tissue injuries were the most common (70.2%), followed by head injury (61.5%), dental and tongue injury (%58.6), burns (24%), and orthopaedic injury (21.2%). The most common site of burns were the upper extremities and the face (36% and 24%, respectively). Burns occurred during cooking in 32% of cases. Five patients had upper extremity fractures. Four patients faced the risk of bathtub drowning. The injuries usually occurred at home. The significant risk factors for injury were generalized tonic-clonic seizures and high frequency of seizures. Twenty-six patients were taken to the emergency unit due to an injury. CONCLUSION Injury is a common problem in patients with epilepsy. Dental and tongue injury was the most common seizure-related injury. The risk factors were generalized tonic-clonic seizures, and high frequency of seizures. Patients with epilepsy can lead normal lives but certain precautions are needed to prevent seizure-related injuries.
Collapse
Affiliation(s)
| | - Ertuğrul Bolayir
- Cumhuriyet University Medical Faculty, Department of Neurology, Sivas, Turkey
| |
Collapse
|