scholarly journals Positivity of SARS-CoV-2, by RT-PCR among workers of a Public Hospital in the city of Santos, SP, Brazil 2020

2020 ◽  
Author(s):  
Marcos Montani Caseiro ◽  
Monica Mazzurana ◽  
Bruno Barreiro ◽  
Estela Capelas Barbosa ◽  
Antônio Pires Barbosa
Keyword(s):  
Nursing Assistants ◽  
Rt Pcr ◽  
Protective Measures ◽  
Protection Measures ◽  
Work Related ◽  
Risk Areas ◽  
Administrative Area ◽  
Individual Protection ◽  
The City ◽  
Positive Results

ABSTRACTBackgroundInfection with SARS-CoV-2, associated with severe respiratory symptoms, currently called COVID-19, represents one of the greatest health challenges of this century. Health professionals, as well as hospital workers, are the most vulnerable population for acquiring SARS-CoV-2 due to their greater proximity to sick patients, especially in specialized hospitals for the treatment of these patients.Study DesignWe ran a questionnaire by all the employees of a Public Service Hospital specialised in COVID-19 treatment (1307 employees), in the municipality of Santos, São Paulo, Brazil, who presented some symptoms compatible with COVID-19 and positive results by RT-PCR, in Oropharynx Swab collection. The questionnaire collected socio-demographic information, as well as data related to the work areas where they were divided into two groups: Employees at higher risk or those who directly deal with patients (914 employees or 69.9%) and lower risk for employees in the administrative area (393 employees or 30.1%).Results211 (16.1%) of the Hospital’s employees had to stop their work-related activities due to presenting positive RT-PCR. There were 39 (9.9%) positives in low risk areas and 172 (18.8%) positives in employees in high risk areas. Within the latter group, Nurses, Nursing Assistants and Doctors were the most frequently infected professionals. Regarding the symptoms of professionals positively diagnosed based on RT-PCR, the most frequent symptoms were body pain (83.4%); headache (80.6%); fever (57.8%) and dry cough (53.1%).ConclusionA high proportion of workers in COVID-19 specialized hospitals was infected by the virus, despite all the protective measures adopted, showing the high transmission capacity of this virus. Stricter individual protection measures among employees must be adopted.

scholarly journals Analysis of SARS-CoV-2 PCR and Chest CT Findings at a Single Facility in Tokyo (Machida Municipal Hospital)

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Taisuke Kazuyori ◽  
Akihito Sato ◽  
Yasuhiro Morimoto ◽  
Kazuyoshi Kuwano
Keyword(s):  
Chest Ct ◽  
Background Characteristics ◽  
Rt Pcr ◽  
Important Indicator ◽  
Negative Results ◽  
Ct Findings ◽  
Positive Rate ◽  
Polymerase Chain ◽  
The City ◽  
Positive Results

Introduction. The SARS-CoV-2 reverse transcription polymerase chain reaction (RT-PCR) test is useful for diagnosing COVID-19, and the RT-PCR positive rate is an important indicator for estimating the incidence rate and number of infections. COVID-19 pneumonia is also associated with characteristic findings on chest CT, which can aid in diagnosis. Methods. We retrospectively evaluated patient background characteristics, the number of cases, the positivity rate, and chest CT findings for positive and negative cases in 672 patients who underwent RT-PCR for suspected COVID-19 at our hospital between April 3 and August 28, 2020. In addition, we compared trends in the positive rates at approximately weekly intervals with trends in the number of new infections in Machida City, Tokyo. Results. The study included 323 men and 349 women, with a median age of 46 years (range: 1 month–100 years). RT-PCR findings were positive in 37 cases, and the positive rate was 5.51%. Trends in the positive rate at our hospital and the number of new COVID-19 cases in the city were similar during the study period. Among patients with positive results, 15 (40.5%) had chest CT findings, and 14 had bilateral homogeneous GGOs. Among patients with negative results, 190 had chest CT findings at the time of examination, and 150 were diagnosed with bacterial pneumonia or bronchitis, with main findings consisting of consolidations and centrilobular opacities. Only 11 of these patients exhibited bilateral homogeneous GGOs. Conclusion. Bilateral homogeneous GGOs are characteristic of COVID-19 pneumonia and may aid in the diagnosis of COVID-19.

scholarly journals Risk observation in the handling of dependent patients in health professionals of a hospital unit

2018 ◽  
Author(s):  
Carla Sílvia Neves da Nova Fernandes ◽  
Germano Couto ◽  
Rogério Carvalho ◽  
Daniela Gomes Fernandes ◽  
Lídia Brito ◽  
...  
Keyword(s):  
Health Professionals ◽  
Musculoskeletal Injury ◽  
Musculoskeletal Injuries ◽  
Nursing Assistants ◽  
Risk Behaviours ◽  
Hospital Unit ◽  
Work Related ◽  
High Incidence ◽  
Mobility Aids ◽  
The City

Background & Aim: There is a high incidence of work-related musculoskeletal injuries in health professionals, namely nurses and nursing assistants, especially associated with the handling and transfer of dependent patients. The present study intends to evaluate the risks of injuries of the health professionals through the observation of the handling of dependent patients. Materials & Methods: A descriptive and correlational study was performed using the observation of the care provided by nurses and nursing assistants. This study was developed in a hospital of the City of Gondomar-Portugal, data collection was carried out between January and March 2018. 149 Professionals were selected by convenience. The data collected were analysed using IBM SPSS® Statistics version 24.0. Results: The sample consisted of 149 participants, mostly female. Concerning the assessment of the burden associated with the handling of dependent patients, it was considered excessive by 74.5% of the professionals. Regarding the application of the Graça Risk Assessment Scale (2008), only 7% of the activities were considered low risk. Risk behaviours associated with inadequate space during the procedure, equipment not properly positioned, almost non-use of mobility aids, and failure to use the patient's collaboration to reduce the effort associated with the procedure were observed. Conclusion: The knowledge obtained through this study will allow the implementation of strategies to reduce the likelihood of pain and musculoskeletal injury related to work.

scholarly journals Use of ionizing radiations in diagnostic studies in an institution of health of Ecuador

2021 ◽  
Vol 106 (106(812)) ◽  
pp. 16-23
Author(s):  
R. Cadenas-Martínez ◽  
S. Sornoza-Mieles ◽  
J. Torres-Puentes
Keyword(s):  
Ionizing Radiation ◽  
Protection Measure ◽  
Protective Measures ◽  
Protection Measures ◽  
Diagnostic Studies ◽  
Radiology Service ◽  
Exposed Workers ◽  
Occupationally Exposed ◽  
Ionizing Radiations ◽  
The City

Objectives: The objective of this study was to evaluate the knowledge of professionals working in the radiology area of a public hospital in the city of Portoviejo, province of Manabí, Ecuador, on the application of ionizing radiation in diagnostic studies and their involvement in the use of protective measures. Methods: A questionnaire with closed questions was applied on the protection measures adopted by practitioners and the radiation doses they apply to patients, among others, to all occupationally exposed workers of the radiology service of the mentioned hospital. Results: The professionals surveyed show a moderate knowledge about the application of ionizing radiation, regardless of their years of experience and profession. Due to the type of radiological application, professionals only use shielding as a protection measure, but not personal dosimeters during operation with X-ray equipment. Conclusions: Professionals have received similar and adequate training; however, radiation update courses are required, particularly concerning radiation protection.

Covid-19: A review of its clinical features, effects on gastrointestinal system and possibility of faecal transmission

2020 ◽  
Vol 11 (SPL1) ◽  
pp. 623-627
Author(s):  
Kanishk K Adhit ◽  
Anjankar Ashish P ◽  
Siddhaarth K
Keyword(s):  
Clinical Presentation ◽  
Throat Swab ◽  
Respiratory Illness ◽  
Review Article ◽  
Gastrointestinal System ◽  
Rt Pcr ◽  
Significant Evidence ◽  
Stool Samples ◽  
High Possibility ◽  
Positive Results

In China, Wuhan in the province of China, COVID-19 a patient suffering from pneumonia was tested and to identify the cause, the throat swab of the patient was tested. On 7th January 2020 WHO declared the identification as COVID-19. And then it was proclaimed as a pandemic. It classically causes a respiratory illness presenting as a mild cough, fever and . However, several investigators have advocated the involvement of the gastrointestinal tract and liver in COVID-19 infection similar to other infections. Further research studies have shown results that are expanding the possibility of transmission because RT-PCR assessment has shown significant evidence for the presence of virus not only in samples but also in stool samples. Studies have shown that virus in stool samples have got positive results even after the illness has resolved, and two respiratory tests were done 24 hours after COVID-19 being tested negative. The review article the different findings of the clinical presentation of COVID-19. It sheds light on the effects of COVID-19 in the gastrointestinal system along with the reasons for the high possibility of transmission of COVID-19 through the route.

On the issue of optimization of atmospheric air quality monitoring for the implementation of the Federal project «Clean Air»

2019 ◽  
pp. 931-936
Author(s):  
I. V. May ◽  
A. A. Kokoulina ◽  
S. Yu. Balashov
Keyword(s):  
Public Health ◽  
Air Quality ◽  
Environmental Monitoring ◽  
Monitoring System ◽  
Protection Measures ◽  
Atmospheric Air ◽  
Monitoring Programs ◽  
Clean Air ◽  
Effectiveness And Efficiency ◽  
The City

Introduction. The city of Chita of Zabaikalsky region is one of the cities of Russia, priority on level of pollution of atmosphere. Of the order of 130 impurities emitted by the sources of the city, 12 are monitored at 5 posts of the Roshydromet network. Maximum monthly average concentrations are formed by benz (a) pyrene (up to 56.8 MPC), hydrogen sulfide (12.3 MPC), suspended particles (up to 4PDC), phenol (up to 3.6 MPC). Significant emissions (59.73 thousand tons in 2018) are aggravated by the use of coal as a fuel by heat and power enterprises and the private sector, climatic and geographical features. Within the framework of the Federal project “Clean Air” of the national project “Ecology”, it is envisaged to reduce the gross emission of pollutants into the atmosphere of Chita by 8.75 thousand tons by 2024, which should lead to a significant improvement in the safety and quality of life of citizens. It is necessary to identify the most “risky “components of pollution for health.It is important to understand: whether the environmental monitoring system reflects the real picture of the dangers posed by pollution of the city’s atmosphere; whether there is a need to optimize the monitoring system for the subsequent assessment of the effectiveness and efficiency of measures; what impurities and at what points should be monitored in the interests of the population, administration and economic entities implementing air protection measures.The aim of the study is to develop recommendations for optimizing the program of environmental monitoring of air quality in the city of Chita, taking into account the criteria of danger to public health for the subsequent evaluation of the effectiveness and effectiveness of the Federal project “Clean Air”.Materials and methods. Justification of optimization of monitoring programs was carried out through the calculation of hazard indices, considering: the mass of emissions and toxicological characteristics of each chemical; the population under the influence. A vector map of the city with a layer “population density” was used as a topographic base. The indices were calculated for regular grid cells covering the residential area. For each cell, the repeatability of winds of 8 points from the priority enterprises and the population within the calculated cell were taken into account. As a result, each calculation cell was characterized by a total coefficient, taking into account the danger of potential impacts of emissions. Based on the results of the assessments, recommendations were formulated to optimize the placement of posts in the city and the formation of monitoring programs.Results. Indices of carcinogenic danger to the health of the population of Chita ranged from 584,805. 96 to 0.03 (priorities: carbon (soot), benzene, benz (a) pyrene); indices of non-carcinogenic danger — from 1,443,558. 24 to 0.00 (priorities: sulfur dioxide, inorganic dust containing 70–20% SiO2, fuel oil ash). The greatest danger to public health stationary sources of emissions form in the North-Western, Western and South-Eastern parts of the city. Roshydromet posts in these zones are absent.Conclusions. As part of the objectives of the project “Clean Air”, it is recommended to Supplement the existing state network of observations of atmospheric air quality in Chita with two posts; to include manganese, xylene, vanadium pentoxide in the monitoring programs, to carry out the determination of Benz(a)pyrene et all posts, which will allow to fully and adequately assess the danger of emissions of economic entities, as well as the effectiveness and efficiency of the provided air protection measures.

scholarly journals An Alternative Risk Assessment Model of Urban Waterlogging: A Case Study of Ningbo City

2021 ◽  
Vol 13 (2) ◽  
pp. 826
Author(s):  
Meiling Zhou ◽  
Xiuli Feng ◽  
Kaikai Liu ◽  
Chi Zhang ◽  
Lijian Xie ◽  
...  
Keyword(s):  
Risk Assessment ◽  
High Risk ◽  
Assessment Model ◽  
Risk Assessments ◽  
Risk Assessment Model ◽  
Risk Area ◽  
The North ◽  
Coastal Cities ◽  
Risk Areas ◽  
The City

Influenced by climate change, extreme weather events occur frequently, and bring huge impacts to urban areas, including urban waterlogging. Conducting risk assessments of urban waterlogging is a critical step to diagnose problems, improve infrastructure and achieve sustainable development facing extreme weathers. This study takes Ningbo, a typical coastal city in the Yangtze River Delta, as an example to conduct a risk assessment of urban waterlogging with high-resolution remote sensing images and high-precision digital elevation models to further analyze the spatial distribution characteristics of waterlogging risk. Results indicate that waterlogging risk in the city proper of Ningbo is mainly low risk, accounting for 36.9%. The higher-risk and medium-risk areas have the same proportions, accounting for 18.7%. They are followed by the lower-risk and high-risk areas, accounting for 15.5% and 9.6%, respectively. In terms of space, waterlogging risk in the city proper of Ningbo is high in the south and low in the north. The high-risk area is mainly located to the west of Jiangdong district and the middle of Haishu district. The low-risk area is mainly distributed in the north of Jiangbei district. These results are consistent with the historical situation of waterlogging in Ningbo, which prove the effectiveness of the risk assessment model and provide an important reference for the government to prevent and mitigate waterlogging. The optimized risk assessment model is also of importance for waterlogging risk assessments in coastal cities. Based on this model, the waterlogging risk of coastal cities can be quickly assessed, combining with local characteristics, which will help improve the city’s capability of responding to waterlogging disasters and reduce socio-economic loss.

scholarly journals COVID-19 among the inhabitants of the slums in the city of Buenos Aires: a population-based study

BMJ Open ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. e044592
Author(s):  
Alejandro Macchia ◽  
Daniel Ferrante ◽  
Gabriel Battistella ◽  
Javier Mariani ◽  
Fernán González Bernaldo de Quirós
Keyword(s):  
Incidence Rate ◽  
Buenos Aires ◽  
Reporting System ◽  
Incidence Rates ◽  
Health Reporting ◽  
Rt Pcr ◽  
Slum Dwellers ◽  
Integrated Health ◽  
The Impact ◽  
The City

ObjectiveTo summarise the unfolding of the COVID-19 epidemic among slum dwellers and different social strata in the city of Buenos Aires during the first 20 weeks after the first reported case.DesignObservational study using a time-series analysis. Natural experiment in a big city.SettingPopulation of the city of Buenos Aires and the integrated health reporting system records of positive RT-PCR for COVID-19 tests.ParticipantsRecords from the Argentine Integrated Health Reporting System for all persons with suspected and RT-PCR-confirmed diagnosis of COVID-19 between 31 January and 14 July 2020.OutcomesTo estimate the effects of living in a slum on the standardised incidence rate of COVID-19, corrected Poisson regression models were used. Additionally, the impact of socioeconomic status was performed using an ecological analysis at the community level.ResultsA total of 114 052 people were tested for symptoms related with COVID-19. Of these, 39 039 (34.2%) were RT-PCR positive. The incidence rates for COVID-19 towards the end of the 20th week were 160 (155 to 165) per 100 000 people among the inhabitants who did not reside in the slums (n=2 841 997) and 708 (674 to 642) among slums dwellers (n=233 749). Compared with the better-off socioeconomic quintile (1.00), there was a linear gradient on incidence rates: 1.36 (1.25 to 1.46), 1.61 (1.49 to 1.74), 1.86 (1.72 to 2.01), 2.94 (2.74 to 3.16) from Q2 to Q5, respectively. Slum dwellers were associated with an incidence rate of 14.3 (13.4 to 15.4).ConclusionsThe distribution of the epidemic is socially conditioned. Slum dwellers are at a much higher risk than the rest of the community. Slum dwellers should not be considered just another risk category but an entirely different reality that requires policies tailored to their needs.

scholarly journals Screening of Mosquitoes for West Nile Virus and Usutu Virus in Croatia, 2015–2020

2021 ◽  
Vol 6 (2) ◽  
pp. 45
Author(s):  
Ana Klobucar ◽  
Vladimir Savic ◽  
Marcela Curman Posavec ◽  
Suncica Petrinic ◽  
Urska Kuhar ◽  
...  
Keyword(s):  
West Nile Virus ◽  
Culex Pipiens ◽  
Rt Pcr ◽  
West Nile ◽  
Usutu Virus ◽  
Culex Pipiens Complex ◽  
Mammalian Origin ◽  
Mosquito Pool ◽  
The City ◽  
Generation Sequencing

In the period from 2015 to 2020, an entomological survey for the presence of West Nile virus (WNV) and Usutu virus (USUV) in mosquitoes was performed in northwestern Croatia. A total of 20,363 mosquitoes were sampled in the City of Zagreb and Međimurje county, grouped in 899 pools and tested by real-time RT-PCR for WNV and USUV RNA. All pools were negative for WNV while one pool each from 2016 (Aedes albopictus), 2017 (Culex pipiens complex), 2018 (Cx. pipiens complex), and 2019 (Cx. pipiens complex), respectively, was positive for USUV. The 2018 and 2019 positive pools shared 99.31% nucleotide homology within the USUV NS5 gene and both clustered within USUV Europe 2 lineage. The next-generation sequencing of one mosquito pool (Cx. pipiens complex) collected in 2018 in Zagreb confirmed the presence of USUV and revealed several dsDNA and ssRNA viruses of insect, bacterial and mammalian origin.

scholarly journals SARS-CoV-2 in peritoneal swabs from asymptomatic patients undergoing emergency abdominal surgery

2021 ◽  
Vol 2021 (4) ◽  
Author(s):  
Jasim AlAradi ◽  
Rawan A Rahman AlHarmi ◽  
Mariam AlKooheji ◽  
Sayed Ali Almahari ◽  
Mohamed Abdulla Isa ◽  
...  
Keyword(s):  
Peritoneal Fluid ◽  
Case Series ◽  
Rapid Test ◽  
Nasopharyngeal Swab ◽  
Rt Pcr ◽  
Protective Measures ◽  
The Public ◽  
Asymptomatic Patients ◽  
Number Of Patients ◽  
Viral Transfer

Abstract This is a case series of five patients with acute abdomen requiring surgery who tested positive for coronavirus disease 2019 (COVID-19) and were asymptomatic, with the purpose of detection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in peritoneal fluid. Nasopharyngeal swab was done as a prerequisite for admission or prior to admission as part of random testing. Two methods of viral testing were employed: Xpert® Xpress SARS-CoV-2 (rapid test) and real-time reverse transcription polymerase chain reaction (RT-PCR). Either or both tests were done, with the former performed for patients requiring surgery immediately. Surgery was performed within 24–36 h from admission. Peritoneal fluid swabs were obtained for the detection of SARS-CoV-2 using RT-PCR test. Swabs were immediately placed in viral transfer media and delivered to the public health laboratory in an ice bag. SARS-CoV-2 was not detected in peritoneal swabs. Due to the limited number of patients, further studies are required; yet, protective measures should still be taken by surgeons when dealing with COVID-19 cases.

scholarly journals Urban Catalyst Element Impact on the Pattern of Spatial Distribution in Semarang City Border Area

2018 ◽  
Vol 7 (2.29) ◽  
pp. 1002
Author(s):  
Bambang Setioko ◽  
Mustika KW ◽  
Titien WM
Keyword(s):  
Spatial Distribution ◽  
Statistical Data ◽  
Statistical Data Analysis ◽  
Literature Study ◽  
Border Area ◽  
Regression Test ◽  
Administrative Area ◽  
The City ◽  
Descriptive Method ◽  
Administrative Boundary

In recent decades the urban growth in Indonesia is likely to follow a global urban trend, characterized by peripheral urbanization. This phenomenon has potentially encouraged the growth of urban physical area to be very broad and unlimited, and often exceeds the city administrative boundary. The urban catalyst development in the eastern city accelerates the growth of settlement in the border area; while the visually of both amongst the border area and the urban area are similar. This research was conducted in Sendang Mulyo village located in the administrative area of Semarang City and in Pucang Gading village located in, Demak Region. This study aims to determine the effect of urban catalyst element on the pattern of spatial distribution in the border area of Semarang City and Demak Region. Based on literature study that has been done, this research uses a quantitative approach with descriptive method under of rationalistic paradigm. Statistical data analysis is done by regression test using software SPSS 16.0. The results of this study indicate the growth and development of urban catalyst elements in the eastern part of Semarang city, significantly has impact to the pattern of spatial distribution in the border area of the Semarang city significantly.  

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