scholarly journals Role of Personal Protective Measures in Prevention of COVID-19 Spread Among Physicians in Bangladesh: a Multicenter Cross-Sectional Comparative Study

2020 ◽  
Vol 2 (10) ◽  
pp. 1733-1739 ◽  
Author(s):  
Md. Musab Khalil ◽  
Md Mashiul Alam ◽  
Mostafa Kamal Arefin ◽  
Mamunur Rashid Chowdhury ◽  
Muhammad Rezeul Huq ◽  
...  
Keyword(s):  
Comparative Study ◽  
Healthcare Workers ◽  
World Health ◽  
Cross Sectional ◽  
Protective Measures ◽  
Significant Difference ◽  
Baseline Information ◽  
Health Organization ◽  
Risk Assessment And Management

Abstract This study aims to determine the role of personal protective measures in the prevention of COVID-19 spread among the physicians working at different health facilities in Bangladesh. This hospital-based cross-sectional comparative study was conducted from May to June 2020. A total of 98 COVID-19 positive physicians and 92 COVID-19 negative physicians (physicians with no symptoms of COVID-19 or who tested negative) were enrolled. The questionnaire was adapted from a tool developed by the World Health Organization (WHO) for risk assessment and management of exposure of healthcare workers in the context of COVID-19. Data were collected from the respondents online using Google forms. There was no significant difference in baseline information between COVID-19 positive and COVID-19 negative physicians. The physicians, who were unaware of direct participation in COVID-19 patient care, had higher odds of being COVID-19 positive (OR = 4.018; CI: 1.532–10.535). Additionally, the physicians, who were unaware of the COVID-19 status while performing the aerosol-generated procedure (AGP), had a higher chance of being COVID-19 positive (OR = 2.522; CI: 1.020–6.233). Using face shields/goggles (OR = 0.437; CI:0.228–0.837) and regular decontamination of the patient’s surroundings (OR = 0.392; CI:0.176–0.873) while usual take care of patients and use of N95 masks while performing AGP (OR = 0.372; CI:0.159–0.873) had protective roles against COVID-19 among the physicians. The physicians who had reused the medical gown had two times more chances of being tested positive for COVID-19 than those who had not reused it (OR = 2.3; CI:1.251–4.259). The use of face shields/goggles and N95 masks and decontamination of the patient’s surroundings may give protection against COVID-19. Additionally, reusing medical gowns should be avoided as much as possible.

scholarly journals Role of Personal Protective Measures in Prevention of COVID-19 Spread among Physicians in Bangladesh: A Multicenter Cross-sectional Comparative Study

2020 ◽  
Author(s):  
Md. Musab Khalil ◽  
Md Mashiul Alam ◽  
Mostafa Kamal Arefin ◽  
Mamunur Rashid Chowdhury ◽  
Muhammad Rezeul Huq ◽  
...  
Keyword(s):  
Health Care Workers ◽  
World Health ◽  
Cross Sectional ◽  
Protective Measures ◽  
Care Workers ◽  
Significant Difference ◽  
Baseline Information ◽  
Health Organization ◽  
Risk Assessment And Management

Abstract ObjectiveThis study aims to determine the role of personal protective measures in the prevention of COVID-19 spread among the physicians working at different health facilities in Bangladesh.MethodsThis hospital-based cross-sectional comparative was conducted from May to June 2020. A total of 98 COVID-19 positive physicians and 92 COVID-19 negative physicians (physicians having no symptoms of COVID-19 or tested negative), were enrolled. The questionnaire was adapted from a tool developed by the World Health Organization (WHO) for risk assessment and management of exposure of health care workers in the context of COVID-19. Data was collected from the respondents online using google forms.ResultsThere was no significant difference in baseline information between COVID-19 positive and COVID-19 negative physicians. The physicians, who were unaware of direct participation in COVID-19 patient care, had higher odds of being COVID-19 positive (OR= 4.018; CI: 1.532-10.535). Also, the physicians, who were unaware of the COVID-19 status while performing aerosol generated procedure (AGP), had a higher chance of being COVID-19 positive, had a higher chance of being COVID-19 positive (OR= 2.522; CI: 1.020-6.233). Using face shields/goggles (OR=0.437; CI:0.228-0.837), regular decontamination of the patient’s surroundings (OR=0.392; CI:0.176-0.873) while usual take care of patients and use of N95 masks while performing AGP (OR=0.372; CI:0.159-0.873) had protective roles against COVID-19 among the physicians. The physicians who had reused the medical gown had two times more chance of being tested positive for COVID-19 than those who had not reused it (OR= 2.3; CI:1.251-4.259).ConclusionThe use of face shield/goggles and N95 masks and decontamination of the patient’s surroundings may give protection against COVID-19. Also, reusing medical gown should be avoided as much as possible.

scholarly journals The Utilization of Protective Face Masks among Polish Healthcare Workers during COVID-19 Pandemic: Do We Pass the Exam?

2021 ◽  
Vol 18 (2) ◽  
pp. 841
Author(s):  
Radomir Reszke ◽  
Łukasz Matusiak ◽  
Piotr K. Krajewski ◽  
Marta Szepietowska ◽  
Rafał Białynicki-Birula ◽  
...  
Keyword(s):  
Healthcare Workers ◽  
Medical Profession ◽  
Cross Sectional Study ◽  
Internet Survey ◽  
World Health ◽  
Cross Sectional ◽  
Protective Measures ◽  
Who Criteria ◽  
The Face ◽  
Health Organization

Relevant personal protective measures during the COVID-19 pandemic include face masks, possibly decreasing the risk of infection among the general population and healthcare workers (HCW) if utilized properly. The aim of the study was to assess whether different Polish HCW utilize face masks according to the 2020 World Health Organization guidance (WHO) criteria. This cross-sectional study included 1156 respondents who participated in an internet survey evaluating mask-related behaviors. All the WHO criteria were complied with by 1.4% of participants, regardless of medical profession, specialty or place of employment. HCW mostly adhered to criterion 1 (C1; strict covering of the face and mouth with the mask; 90.8%), C4 (washing/disinfecting the hands after touching/taking off the mask; 49%) and C3 (taking off the mask properly without touching the anterior surface; 43.4%), whereas C2 (avoidance of touching the mask with hands) was complied with least commonly (6.8%). HCW with mask-induced itch (31.6%) complied to C2 less often (odds ratio 0.53; p = 0.01). The study reveals that Polish HCW rarely adhere to all the 2020 WHO guidance criteria on the use of masks, whereas the adherence to particular criteria is variable and may be associated with the presence of skin-related conditions and other factors. Better compliance with the recommendations in the future is necessary to increase personal safety of HCW and prevent the transmission of SARS-CoV-2.

scholarly journals Knowledge, attitude, and practices towards COVID-19 among nurses, ward attendants, and housekeeping staff at a tertiary psychiatric institute in India

2020 ◽  
Vol 7 (12) ◽  
pp. 5035
Author(s):  
Chandrashekhar Mahato ◽  
Sunilkumar Suryavanshi
Keyword(s):  
Healthcare Workers ◽  
World Health ◽  
Psychiatric Institute ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Adequate Knowledge ◽  
Significant Difference ◽  
Knowledge And Attitude ◽  
Health Organization ◽  
Study Participants

Background: The world health organization (WHO) declared COVID-19 a worldwide pandemic on 11th March 2020. As this is a novel illness, thus knowledge, attitude, and practice (KAP) related to the pandemic is a new area of research. KAP in a non-COVID facility, such as a psychiatric institution is rare.Methods: Cross-sectional survey with purposive sampling, conducted at central institute of psychiatry, Ranchi, India. A sample of 235 healthcare workers consisting of nurses, wards attendants, and housekeeping staff took part in the study. Participants completed a 36-item questionnaire assessing their KAP related to COVID-19.Results: 79.42% of healthcare workers in this study had adequate knowledge of COVID-19 symptomatology, transmission, management, and preventive measures. 89.79% were confident that India would win the battle against COVID-19. 35.32% fear to work in a hospital, but on the other hand, 80.85% of healthcare staff considered coming to work as part of their duty. Good practices like wearing a mask before leaving home and practicing proper cough hygiene were observed. The significant difference found in KAP among the three groups. Spearman’s correlation was significant between age, level of education of the participants with the KAP.Conclusions: The study suggests increased attention is required towards the training of the healthcare workers to enhance their knowledge and attitude so that the practices can be improved.

scholarly journals Covid-19, Anxiety, and Hopelessness: Quality of Life among Healthcare Workers in Turkey

2021 ◽  
Author(s):  
Selda MERT ◽  
Ayfer PEKER KARATOPRAK ◽  
Yeliz DEMİRHAN ◽  
Canan BAYDEMİR ◽  
Berrin ÇETİNARSLAN ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Healthcare Workers ◽  
World Health ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
World Health Organization Quality ◽  
Protective Measures ◽  
Health Related ◽  
Health Organization

Abstract Object: To investigate the effect of anxiety and hopelessness on the quality of life of healthcare workers.Methods: This cross-sectional, online questionnaire-based study was conducted between August 31 - September 30, 2020, with 729 healthcare workers in Turkey. The Sociodemographic Information Form, the Turkish version of the Shorter Version of the World Health Organization Quality of Life Instrument (WHOQOL-BREF-TR), the State-Trait Anxiety Inventory (STAI-I) and the Beck Hopelessness Scale (BHS) were used for data collection.Results: The study showed that hopelessness, the weekly working time, fatigue, and the workload experienced by healthcare workers negatively affected their quality of life, and those who needed knowledge on various issues to improve their skills had lower quality of life and higher anxiety and hopelessness levels. Conclusion: Protective measures should be taken for the health of healthcare workers against the adverse effects of the intense anxiety, hopelessness, and workload during the pandemic period. To achieve sustainable success in the provision of health services, healthcare workers must be psychologically healthy. Therefore, taking protective measures to improve the resilience of healthcare workers in all health-related areas should be a priority.

scholarly journals Food intolerances and associated symptoms in patients undergoing Fobi-Capella technique without gastric ring

2015 ◽  
Vol 28 (1) ◽  
pp. 36-39 ◽  
Author(s):  
Marcella de Arruda MOREIRA ◽  
Patrícia Ramos Maciel ESPÍNOLA ◽  
Camila Wanderley de AZEVEDO ◽  
Cinthia Karla Rodrigues do Monte GUEDES
Keyword(s):  
Clinical Manifestations ◽  
Cross Sectional Study ◽  
Food Intolerance ◽  
World Health ◽  
Cross Sectional ◽  
Significant Difference ◽  
One Year ◽  
Health Organization ◽  
Nutritional Monitoring ◽  
Height Data

BACKGROUND: Bariatric surgery is considered the only effective method to treat refractory obesity, and especially for those in which clinical treatment was not successful. However, the appearance of food intolerances and clinical manifestations are quite common. AIM: To identify food intolerances and associated them to symptoms in patients undergoing Fobi-Capella technique without gastric ring. METHODS: This was a cross-sectional study of adult patients who had more than one year after surgery. Demographic, anthropometric, weight and preoperative height data were investigated. Nutritional status was classified according to the criteria established by the World Health Organization. It was considered food intolerance the presence of nausea, vomiting, diarrhea or bloating after eating a particular food. RESULTS: The sample consisted of 61 patients who attended the nutritional consultation of which 26 (42.6%) had food intolerance, mostly related to red meat (n=12; 34.3%) during the first six months of operation; there was a significant difference between the periods between 0 and 6 months, and 7 to 12 (p=0.02). Among the symptoms reported by patients, nausea was the most recurrent until the 6th month, but without significant differences between the two periods (p=0.06). CONCLUSION: The Fobi-Capella procedure without gastric ring promoted high frequency of intolerance to meat in general, especially for the red, chicken and fish, on this sequence; nausea was the most frequent symptom. These data suggest the need for adequate nutritional monitoring throughout the postoperative period.

scholarly journals Hand hygiene compliance among rural healthcare workers of Nepal

2018 ◽  
Vol 5 (1) ◽  
pp. 90-95
Author(s):  
Ajay Kumar Rajbhandari ◽  
Reshu Agrawal Sagtani ◽  
Kedar Prasad Baral
Keyword(s):  
Health Care ◽  
Hand Hygiene ◽  
Healthcare Workers ◽  
Compliance Rate ◽  
Hand Washing ◽  
World Health ◽  
Cross Sectional ◽  
Hygiene Compliance ◽  
Health Organization ◽  
Healthcare Associated

Introductions: Transmission of healthcare associated infections through contaminated hands of healthcare workers are common. This study was designed to explore the existing compliance of hand hygiene among the healthcare workers workings in different level of health care centers of Makwanpur district of Nepal. Methods: This was a cross sectional observational study conducted in Makwanpur district, Nepal, during 2015. Healthcare workers from nine healthcare centers were selected randomly for the study. Standard observation checklists and World Health Organization guidelines on hand hygiene were used to assess the compliance of hand hygiene during patient care. Results: There were 74 participants. Overall compliance for hand washing was 24.25% (range 19.63 to 45.56). Complete steps of hand washing were performed by 38.3% of health care workers. The factors associated for noncompliance were lack of time (29.3%), example set by seniors (20%), absence or inadequate institution protocol (20%) and unfavourable health care setting (> 20%). Conclusions: Overall hand washing compliance rate amongst the healthcare workers in rural health facilities of Nepal were low (24.25%).

scholarly journals A COMPARATIVE, QUESTIONNAIRE BASED CROSS-SECTIONAL STUDY ON SELF MEDICATION PRACTICE AMONG MEDICAL AND PARAMEDICAL STUDENTS

2020 ◽  
Vol 4 (8) ◽  
Author(s):  
Monika Mishra
Keyword(s):  
Prescription Drugs ◽  
Cross Sectional Study ◽  
Brand Names ◽  
World Health ◽  
P Value ◽  
Duration Of Treatment ◽  
Self Medication ◽  
Cross Sectional ◽  
Significant Difference ◽  
Health Organization

Background: According to World Health Organization (WHO), self medication is use of medicines to treat self recognized symptoms, or use of a prescribed medicine for chronic symptoms. It is associated with use of prescription drugs, alternative medicines and over the counter drugs (OTC). Methods: This was a prospective, observational, questionnaire based study where two groups of students were interviewed with a prevalidated questionnaire. The first group comprised of students from MBBS while the second group consisted of students of paramedical courses namely physiotherapy, operation theatre technicians and lab technicians. Results: A total of 200 students with an average age 19.62±0.65 years participated in the study. Among these students, 100 were medical students. All the students had practiced self medication however, only 51.00% agreed with the concept of self-medication. Considering the significant „p‟ value to be <0.05 there was a significant difference among the 2 groups with respect to awareness of generic and brand names of the drugs and importance of completing the course of treatment. 51.00% of medical and 29.00% paramedical students were aware about generic and brand names of drugs while knowledge about importance of completing course of treatment was present in 62% medical and 42% paramedical students. (p value<0.05). Also, there was no significant difference regarding the knowledge about the content, dose, duration of treatment and frequency of drug administration among the two groups. Conclusion: The present study shows a high prevalence of selfmedication among medical and paramedical students of the institution. The knowledge about self-medication was encouraging among the students of both the groups. Keywords: Self medication, student, knowledge

scholarly journals Hand Hygiene Knowledge and Perception among the Healthcare Workers during the COVID-19 Pandemic in Qassim, Saudi Arabia: A Cross-Sectional Survey

Healthcare ◽  
2021 ◽  
Vol 9 (12) ◽  
pp. 1627
Author(s):  
Adil Abalkhail ◽  
Ilias Mahmud ◽  
Fahad A. Alhumaydhi ◽  
Thamer Alslamah ◽  
Ameen S. S. Alwashmi ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Hand Hygiene ◽  
Healthcare Workers ◽  
Primary Source ◽  
Cross Sectional Study ◽  
World Health ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
The Government ◽  
Health Organization

Hand hygiene is among the most important factors of infection control in healthcare settings. Healthcare workers are the primary source of hospital-acquired infection. We assessed the current state of hand hygiene knowledge, perception, and practice among the healthcare workers in Qassim, Saudi Arabia. In this cross-sectional study, we used the hand hygiene knowledge and perception questionnaire developed by the World Health Organization. Knowledge and perceptions were classified into good (80–100%), moderate (60–79%), and poor (<60% score). The majority of the healthcare workers had moderate knowledge (57.8%) and perception (73.4%) of hand hygiene. Males were less likely to have moderate/good knowledge compared to females (OR: 0.52, p < 0.05). Private healthcare workers were less likely (OR: 0.33, p < 0.01) to have moderate/good perceptions compared to the government healthcare workers. Healthcare workers who received training on hand hygiene were more likely to have good/moderate perception (OR: 3.2, p < 0.05) and to routinely use alcohol-based hand rubs (OR: 3.8, p < 0.05) than the ones without such training. Physicians are more likely (OR: 4.9, p < 0.05) to routinely use alcohol-based hand rubs than technicians. Our research highlighted gaps in hand hygiene knowledge, perception and practice among healthcare workers in Qassim, Saudi Arabia and the importance of training in this regard.

scholarly journals Influence of advanced age on postoperative outcomes and total loss following breast reconstruction: a critical assessment of 560 cases

2018 ◽  
Vol 45 (2) ◽  
Author(s):  
WALTER KOITI MATSUMOTO ◽  
ALEXANDRE MENDONÇA MUNHOZ ◽  
ALBERTO OKADA ◽  
EDUARDO MONTAG ◽  
EDUARDO GUSTAVO ARRUDA ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Breast Reconstruction ◽  
The Elderly ◽  
Advanced Age ◽  
World Health ◽  
Elderly Age ◽  
Significant Difference ◽  
Health Organization

ABSTRACT Objective: to evaluate the role of age in the risk of postoperative complications in patients submitted to unilateral breast reconstruction after mastectomy, with emphasis on total reconstruction loss. Methods: we conducted a retrospective study of patients submitted to breast reconstruction, whose variables included: oncological and reconstruction data, postoperative complications, including loss of reconstruction and complications of surgical wound. We divided the patients into two groups, according to the classification of the Brazilian National Elderly Policy and the Statute of the Elderly: young (age <60 years) and elderly (60 years or more). We also grouped them according to the World Health Organization classification: young people (age <44 years), middle age (45-59 years); elderly (age 60-89 years) and extreme advanced age (90 years or older). We applied the surgical risk classification of the American Society of Anesthesiologists to investigate the role of the preoperative physical state as a possible predictor of complications. Results: of the 560 patients operated on, 94 (16.8%) were 60 years of age or older. We observed a local complication rate of 49.8%, the majority being self-limited. The incidences of necrosis, infection and dehiscence were 15.5%, 10.9% and 9.3%, respectively. Patients older than 60 years presented a chance of complication 1.606 times greater than the younger ones. Forty-five (8%) patients had loss of the reconstruction; there was no statistically significant difference in the mean age of the patients who presented this result or not (p=0.321). Conclusion: in selected patients, breast reconstruction can be considered safe; most documented complications were limited and could be treated conservatively.

scholarly journals Public awareness of ear health and hearing loss in Jeddah, Saudi Arabia

2019 ◽  
Vol 66 (1) ◽  
Author(s):  
Khalid A. Alshehri ◽  
Waleed M. Alqulayti ◽  
Bassam E. Yaghmoor ◽  
Hisham Alem
Keyword(s):  
Hearing Loss ◽  
Saudi Arabia ◽  
Family History ◽  
Public Awareness ◽  
Cross Sectional Study ◽  
World Health ◽  
Public Knowledge ◽  
Cross Sectional ◽  
Significant Difference ◽  
Health Organization

Background: Knowledge of ear health and hearing loss is essential for early intervention and treatment, but the state of public knowledge of such in Jeddah, Saudi Arabia, remains unknown.Objectives: To measure public knowledge of ear health and hearing loss.Method: This cross-sectional study was conducted during August 2018 in Jeddah, Saudi Arabia. An electronic survey questionnaire was distributed to 2372 residents of various districts in Jeddah. The survey was created in 2013 by adopting previously published World Health Organization material, designed to assess knowledge and perception of ear health. All males and females aged 10 years or older living in Jeddah had the chance to participate in this study. A total of 2372 people participated. Percentages mean ± standard deviation, one-way analysis of variance (ANOVAs) and independent t-tests were applied to determine the significant difference. p-values of 0.05 or less were considered significant.Results: The overall mean number of correct responses on the survey’s true/false questionnaire was 10.66 ± 1.92 out of 14. Female participants gave a higher mean number of correct answers than did male participants (10.73 ± 2.03 vs. 10.54 ± 2.03, respectively). Participants with a family history of hearing loss gave a higher mean number of correct answers compared with participants who reported a negative family history (10.89 ± 1.82 vs. 10.53 ± 1.97, respectively).Conclusion: Overall awareness of ear health and hearing loss management is fair. However, the results indicate a need for more integrated educational materials to be made available both to the general population as well as to hearing loss individuals and their families.

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