scholarly journals Individual-Level Heterogeneity in Mask-wearing During the COVID-19 Pandemic in Malaysia

2021 ◽  
Author(s):  
Stephen X. Zhang ◽  
Kim Hoe Looi ◽  
Nicolas Li ◽  
Jizhen LI ◽  
Xue Wan
Keyword(s):  
Health Communication ◽  
Personal Protective Equipment ◽  
Face Mask ◽  
Individual Heterogeneity ◽  
Protective Equipment ◽  
Public Places ◽  
Individual Level ◽  
The Individual ◽  
Individual Choices ◽  
Specific Health

Wearing a face mask has been a key approach to contain or slow down the spread of COVID-19 in the ongoing pandemic. However, there is huge heterogeneity among individuals in their willingness to wear face masks during an epidemic. This research aims to investigate the individual heterogeneity to wear face masks and its associated predictors during the COVID-19 pandemic when mask-wearing was not mandatory but individual choices. Based on a survey of 708 Malaysian adults and a multivariate least-squares fitting analysis, the results reveal a significant variance among individuals in wearing masks, as 34% of the individual adults did not always wear masks in public places. Female, individuals who wash their hands more frequently, and those who reported more availability of personal protective equipment were more likely to practice mask-wearing. The identification of less compliant groups of mask-wearing has critical implications by enabling more specific health communication campaigns.

scholarly journals Individual-Level Heterogeneity in Mask Wearing during the COVID-19 Pandemic in Malaysia

2021 ◽  
Author(s):  
Stephen X. Zhang ◽  
Kim Hoe Looi ◽  
Nicolas Li ◽  
Xue Wan ◽  
Jizhen Li
Keyword(s):  
Health Communication ◽  
Least Squares ◽  
Personal Protective Equipment ◽  
Face Mask ◽  
Individual Heterogeneity ◽  
Protective Equipment ◽  
Public Places ◽  
Individual Level ◽  
The Individual ◽  
Specific Health

Wearing a face mask has been a key approach to contain or slow down the spread of COVID-19 in the ongoing pandemic. However, there is huge heterogeneity among individuals in their willingness to wear face masks during an epidemic. This research aims to investigate the individual heterogeneity to wear face masks and its associated predictors during the COVID-19 pandemic when mask-wearing was not mandatory. Based on a survey of 708 Malaysian adults and a multivariate least-squares fitting analysis, the results reveal a significant variance among individuals in wearing masks, as 34% of the individual adults did not always wear masks in public places. Female individuals, individuals who wash their hands more frequently, and those who reported more availability of personal protective equipment were more likely to practice mask-wearing. The identification of less-compliant groups of mask wearing has critical implications by enabling more specific health communication campaigns.

scholarly journals Antiviral surfaces and coatings and their mechanisms of action

2021 ◽  
Vol 2 (1) ◽  
Author(s):  
Paulina D. Rakowska ◽  
Mariavitalia Tiddia ◽  
Nilofar Faruqui ◽  
Claire Bankier ◽  
Yiwen Pei ◽  
...  
Keyword(s):  
Antimicrobial Peptides ◽  
Personal Protective Equipment ◽  
Viral Infections ◽  
Chemical Properties ◽  
Mechanisms Of Action ◽  
Consumer Products ◽  
Protective Equipment ◽  
Public Places ◽  
Virus Attachment ◽  
Physico Chemical

AbstractViral infections are a serious health challenge, and the COVID-19 pandemic has increased the demand for antiviral measures and treatments for clean surfaces, especially in public places. Here, we review a range of natural and synthetic surface materials and coatings with antiviral properties, including metals, polymers and biopolymers, graphene and antimicrobial peptides, and their underpinning antiviral mechanisms. We also discuss the physico-chemical properties of surfaces which influence virus attachment and persistence on surfaces. Finally, an overview is given of the current practices and applications of antiviral and virucidal materials and coatings in consumer products, personal protective equipment, healthcare and public settings.

scholarly journals Recommendations from the Brazilian Society of Nephrology regarding the use of cloth face coverings, by chronic kidney patients in dialysis, during the new coronavirus pandemic (Covid-19)

2020 ◽  
Vol 42 (2 suppl 1) ◽  
pp. 9-11
Author(s):  
Andrea Pio de Abreu ◽  
José Andrade Moura Neto ◽  
Vinicius Daher Alvares Delfino ◽  
Lilian Monteiro Pereira Palma ◽  
Marcelo Mazza do Nascimento
Keyword(s):  
Personal Protective Equipment ◽  
Healthcare Professionals ◽  
Protective Equipment ◽  
Ministry Of Health ◽  
Public Places ◽  
Brazilian Society ◽  
New Evidence

ABSTRACT These recommendations were created after the publication of informative note 3/2020- CGGAP/DESF/SAPS/MS, of April 4, 2020, in which the Brazilian Ministry of Health recommended the use of a cloth mask by the population, in public places. Taking into account the necessary prioritization of the provision of Personal Protective Equipment (PPE) for patients with suspected or confirmed disease, as well as for healthcare professionals, the SBN is favorable concerning the wear of cloth masks by chronic kidney patients in dialysis, in public settings, except in the dialysis setting. The present recommendations have eleven items, related to this rationale, the procedures, indications, contraindications, as well as appropriate fabrics for the mask, and hygiene care to be adopted. These recommendations may change, at any time, in the light of new evidence.

Feasibility study: Proposed alternative to N95 respirator during the personal protective equipment shortage from COVID-19 pandemic

2021 ◽  
Vol 19 (7) ◽  
pp. 192-202
Author(s):  
Ahel El Haj Chehade, MD ◽  
Jesintha Stephenson, MD ◽  
Evan Floyd, PhD ◽  
Jean Keddissi, MD, FCCP ◽  
Tony Abdo, MD ◽  
...  
Keyword(s):  
Pulse Oximetry ◽  
Feasibility Study ◽  
Personal Protective Equipment ◽  
Geometric Mean ◽  
Face Mask ◽  
The United States ◽  
Geometric Standard Deviation ◽  
Protective Equipment ◽  
Health Administration ◽  
Fit Testing

Introduction: Having an adequate supply of personal protective equipment during the COVID-19 pandemic has been a constant challenge for hospitals across the United States. In the event of shortages, our assembled mask might offer noninferior protection compared to an N95 respirator. Objective: To study the ability of an assembled mask to pass a quantitative fit testing.Methods: We conducted a feasibility study at the Oklahoma City Veteran Affairs Health Care System. Volunteers were fitted with an assembled mask made of either a Hans Rudolph half-face mask or a Respironics Performax full-face mask, attached to an Iso-Gard HEPA light Filter 28022 through a Performax SE elbow hinge. Quantitative fit testing was conducted using the Occupation Safety and Health Administration fit testing protocol. The primary outcome was the percentage of participants who pass the quantitative fit test. Secondary outcomes included the overall fit factor (FF), average FF for different exercises, changes in pulse oximetry and endtidal CO2 at 0 and 15 minutes, willingness to use the mask, and visibility assessment.Results: Twenty participants completed the study, and all (100 percent) passed the quantitative fit testing. The overall FF had a geometric mean of 2,317 (range: 208-16,613) and a geometric standard deviation of 3.8. The lowest FF was recorded while the subjects were talking. Between time 0 and 15 minutes, there was no clinically significant change in pulse oximetry and end-tidal CO2 levels. Most participants reported “very good” visibility and were “highly likely” to use the Hans Rudolph half-face mask in the case of shortage.Conclusion: Our assembled respirator offers noninferior protection to N95 respirators in the setting of hypothetical protective equipment shortage.

scholarly journals Sex differences in sickness absence and the morbidity-mortality paradox: a longitudinal study using Swedish administrative registers

BMJ Open ◽  
2019 ◽  
Vol 9 (8) ◽  
pp. e024098
Author(s):  
Daniel Avdic ◽  
Pathric Hägglund ◽  
Bertil Lindahl ◽  
Per Johansson
Keyword(s):  
Hospital Admission ◽  
Sickness Absence ◽  
Outcome Measures ◽  
Cox Regression ◽  
Individual Level ◽  
Risk Of Death ◽  
Preventive Behaviour ◽  
The Individual ◽  
Coherent Picture ◽  
Specific Health

ObjectiveTo analyse whether gender-specific health behaviour can be an explanation for why women outlive men, while having worse morbidity outcomes, known as the morbidity-mortality or gender paradox.SettingThe working population in Sweden.ParticipantsThirty per cent random sample of Swedish women and men aged 40–59 with a hospital admission in the 1993–2004 period were included. The sample for analysis consists of 233 274 individuals (115 430 men and 117 844 women) and in total 1 867 013 observations on sickness absence.InterventionHospital admission across 18 disease categories.Main outcome measuresThe main outcome measures were sickness absence (morbidity) and mortality. Longitudinal data at the individual level allow us to study how sickness absence changed after a hospital admission in men and women using a difference-in-differences regression analysis. Cox regression models are used to study differences in mortality after the admission.ResultsWomen increased their sickness absence after a hospital admission by around five more days per year than men (95% CI 5.25 to 6.22). At the same time, men had higher mortality in the 18 diagnosis categories analysed. The pattern of more sickness absence in women was the same across 17 different diagnosis categories. For neoplasm, with a 57% higher risk of death for men (54.18%–59.89%), the results depended on the imputation method of sickness for those deceased. By using the premortality means of sickness absence, men had an additional 14.47 (-16.30– -12.64) days of absence, but with zero imputation women had an additional 1.6 days of absence (0.05–3.20). Analyses with or without covariates revealed a coherent picture.ConclusionsThe pattern of increased sickness absence (morbidity) and lower mortality in women provides evidence on the more proactive and preventive behaviour of women than of men, which could thus explain the morbidity-mortality paradox.

Respiratory viruses on personal protective equipment and bodies of healthcare workers

2019 ◽  
Vol 40 (12) ◽  
pp. 1356-1360 ◽  
Author(s):  
Linh T. Phan ◽  
Dagmar Sweeney ◽  
Dayana Maita ◽  
Donna C. Moritz ◽  
Susan C. Bleasdale ◽  
...  
Keyword(s):  
Personal Protective Equipment ◽  
Healthcare Workers ◽  
Viral Infections ◽  
Quantitative Polymerase Chain Reaction ◽  
Face Mask ◽  
Respiratory Viruses ◽  
The Body ◽  
Protective Equipment ◽  
Bare Hand ◽  
Polymerase Chain

AbstractObjective:To characterize the magnitude of virus contamination on personal protective equipment (PPE), skin, and clothing of healthcare workers (HCWs) who cared for patients having acute viral infections.Design:Prospective observational study.Setting:Acute-care academic hospital.Participants:A total of 59 HCWs agreed to have their PPE, clothing, and/or skin swabbed for virus measurement.Methods:The PPE worn by HCW participants, including glove, face mask, gown, and personal stethoscope, were swabbed with Copan swabs. After PPE doffing, bodies and clothing of HCWs were sampled with Copan swabs: hand, face, and scrubs. Preamplification and quantitative polymerase chain reaction (qPCR) methods were used to quantify viral RNA copies in the swab samples.Results:Overall, 31% of glove samples, 21% of gown samples, and 12% of face mask samples were positive for virus. Among the body and clothing sites, 21% of bare hand samples, 11% of scrub samples, and 7% of face samples were positive for virus. Virus concentrations on PPE were not statistically significantly different than concentrations on skin and clothing under PPE. Virus concentrations on the personal stethoscopes and on the gowns were positively correlated with the number of torso contacts (P < .05). Virus concentrations on face masks were positively correlated with the number of face mask contacts and patient contacts (P < .05).Conclusions:Healthcare workers are routinely contaminated with respiratory viruses after patient care, indicating the need to ensure that HCWs complete hand hygiene and use other PPE to prevent dissemination of virus to other areas of the hospital. Modifying self-contact behaviors may decrease the presence of virus on HCWs.

scholarly journals COVID-19 Disposable Face Masks: a Precursor for Synthesis of Valuable Bioproducts

2021 ◽  
Author(s):  
Oluwatosin Oginni
Keyword(s):  
Environmental Impact ◽  
Environmental Pollution ◽  
Personal Protective Equipment ◽  
Face Mask ◽  
Protective Equipment ◽  
Thermoplastic Polymers ◽  
Secondary Transmission

Abstract Disposable face mask has become a mandatory personal protective equipment in order to prevent contracting COVID-19. With the significant surge in its usage, its adverse environmental impact is becoming a source of concern. Disposable face masks are made from thermoplastic polymers and therefore they can be safely converted into valuable bioproducts. This paper discussed the possibility of converting waste/contaminated face masks into valuable bioproducts, which will essentially eliminate secondary transmission of the coronavirus and the concerns of environmental pollution.

Full-face mask adapter as COVID-19 Personal Protective Equipment: design, tests and validation

2021 ◽  
Vol 19 (6) ◽  
pp. 986-993
Author(s):  
Ruben Fuentes-Alvarez ◽  
Mariel Alfaro-Ponce ◽  
Fanny Alvarado ◽  
Jessica Aidee Mora-Galvan ◽  
Rita Q. Fuentes-Aguilar ◽  
...  
Keyword(s):  
Personal Protective Equipment ◽  
Face Mask ◽  
Equipment Design ◽  
Protective Equipment ◽  
Full Face

scholarly journals Surgical Performance Is Not Negatively Impacted by Wearing a Commercial Full-Face Mask with Ad Hoc 3D-Printed Filter Connection as a Substitute for Personal Protective Equipment during the COVID-19 Pandemic: A Randomized Controlled Cross-Over Trial

2021 ◽  
Vol 10 (3) ◽  
pp. 550 ◽  
Author(s):  
Eleni Amelia Felinska ◽  
Zi-Wei Chen ◽  
Thomas Ewald Fuchs ◽  
Benjamin Otto ◽  
Hannes Götz Kenngott ◽  
...  
Keyword(s):  
Personal Protective Equipment ◽  
Ad Hoc ◽  
Face Mask ◽  
Protective Equipment ◽  
Surgical Performance ◽  
Randomized Controlled ◽  
3D Printed ◽  
Group 2 ◽  
Full Face

(1) Background: During the COVID-19 pandemic, shortages in the supply of personal protective equipment (PPE) have become apparent. The idea of using commonly available full-face diving (FFD) masks as a temporary solution was quickly spread across social media. However, it was unknown whether an FFD mask would considerably impair complex surgical tasks. Thus, we aimed to assess laparoscopic surgical performance while wearing an FFD mask as PPE. (2) Methods: In a randomized-controlled cross-over trial, 40 laparoscopically naive medical students performed laparoscopic procedures while wearing an FFD mask with ad hoc 3D-printed connections to heat and moisture exchange (HME) filters vs. wearing a common surgical face mask. The performance was evaluated using global and specific Objective Structured Assessment of Technical Skills (OSATS) checklists for suturing and cholecystectomy. (3) Results: For the laparoscopic cholecystectomy, both global OSATS scores and specific OSATS scores for the quality of procedure were similar (Group 1: 25 ± 4.3 and 45.7 ± 12.9, p = 0.485, vs. Group 2: 24.1 ± 3.7 and 43.3 ± 7.6, p = 0.485). For the laparoscopic suturing task, the FFD mask group needed similar times to the surgical mask group (3009 ± 1694 s vs. 2443 ± 949 s; p = 0.200). Some participants reported impaired verbal communication while wearing the FFD mask, as it muffled the sound of speech, as well as discomfort in breathing. (4) Conclusions: FFD masks do not affect the quality of laparoscopic surgical performance, despite being uncomfortable, and may therefore be used as a substitute for conventional PPE in times of shortage—i.e., the global COVID-19 pandemic.

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