scholarly journals Potential Risk and Safety Measures in Laparoscopy in COVID-19 Positive Patients

2021 ◽  
pp. 155335062110035
Author(s):  
Fokkedien HMP Tummers ◽  
Werner A Draaisma ◽  
Ahmet Demirkiran ◽  
Tammo A Brouwer ◽  
Brunolf W Lagerveld ◽  
...  
Keyword(s):  
Potential Risk ◽  
Healthcare Workers ◽  
Literature Search ◽  
Body Fluids ◽  
Viral Transmission ◽  
Transmission Risk ◽  
Safety Measures ◽  
Surgical Smoke ◽  
Small Risk ◽  
Additional Safety

Background. During the COVID-19 pandemic the question arises if laparoscopy, as an aerosol forming procedure, poses a potential risk for viral transmission of SARS-CoV-2 to healthcare workers. Methods. A literature search was conducted using PubMed, Embase and MEDLINE. Articles reporting information regarding COVID-19 or other relevant viruses and laparoscopy, surgical smoke, aerosols and viral transmission were included. Results. Although aerosols produced during laparoscopy do not originate from the respiratory tract, the main transmission route of SARS-CoV-2, research did show SARS-CoV-2 to be present in other body fluids. The transmission risk via this route is however considered very low. As previous research showed potential viral transmission during laparoscopy for viruses that spread through contaminated body fluids, there might be a potential risk of SARS-CoV-2 transmission during laparoscopy, albeit considered very small. Conclusion. Due to the small risk compared to widely known benefits of laparoscopy, there is no reason to replace laparoscopy by laparotomy due to COVID-19 infection. To avoid the potential small risk of viral transmission, additional safety measures are advised.

scholarly journals COVID-19 Community Transmission among Healthcare Workers at a Tertiary Care Cardiac Center

2021 ◽  
Vol 9 (3) ◽  
pp. 49
Author(s):  
Mazin Barry ◽  
Asirvatham Alwin Robert ◽  
Mohamad-Hani Temsah ◽  
Syed Abdul Bari ◽  
Muhammad Yasin Akhtar ◽  
...  
Keyword(s):  
Healthcare Workers ◽  
Tertiary Care ◽  
Transmission Risk ◽  
Mitigation Measures ◽  
Age Group ◽  
Community Transmission ◽  
Mode Of Transmission ◽  
Healthcare Associated ◽  
Female Nurses ◽  
Cardiac Center

Aim: To determine the frequency, mode of transmission, and outcome of Coronavirus Disease 2019 (COVID-19) among healthcare workers (HCWs) in a tertiary care cardiac center in the Kingdom of Saudi Arabia (KSA). Methods: This is a retrospective study of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) infected HCWs and was conducted from 2 March to 31 December 2020. Data related to the presence of COVID-19 symptoms, mode of transmission, hospitalization, and mortality were collected from the patients’ medical records. Results: Of the 4462 patients tested for COVID-19 by real-time reverse transcriptase polymerase chain reaction (RT-PCR), 203 (4.5%) HCWs were positive; of these, 125 (61.6%) were males, and the most common age group was <40 years. The most commonly encountered health professionals were nurses (74, 36.4%), followed by therapists/technicians (48, 23.6%), housekeepers (25, 12.3%), and physicians (21, 10.4%). The majority (184, 90.6%) of the HCWs contracted COVID-19 in the community, and only 19 (9.4%) were healthcare-associated infections. Of the infected HCWs, 169 (83.3%) had mild symptoms and were managed in home isolation. The most common symptoms were fever (128, 63.1%), body ache (124, 61.8%), headache (113, 55.7%), dry cough (123, 60.6%), sore throat (97, 47.8%), body weakness (97, 47.8%), and fatigue (94, 46.3%). Comparing males and females, there was a significantly higher number of female nurses; in contrast, there was a higher number of male physicians, housekeepers, therapists/technicians, and other specialty HCWs. A significantly lower number of nurses, therapists/technicians were infected in the ≥40 years age group compared to <40 years. Furthermore, a significantly higher difference was observed among non-Saudi nurses compared to Saudi nurses. No mortality was documented among the included HCWs. Conclusions: In the largest tertiary cardiac center in KSA, most HCWs who contracted COVID-19 developed mild symptoms; nurses and those aged <40 years were most commonly infected, and most infections were acquired in the community. HCWs’ adherence to mitigation measures outside of the workplace is vital to curb the current pandemic and decrease nosocomial transmission risk.

scholarly journals Effectiveness of Gutting Blue Whiting (Micromesistius poutassou, Risso, 1827), in Spanish Supermarkets as an Anisakidosis Safety Measure

Foods ◽  
2021 ◽  
Vol 10 (4) ◽  
pp. 862
Author(s):  
Ana Elena Ahuir-Baraja ◽  
Lola Llobat ◽  
Maria Magdalena Garijo
Keyword(s):  
Food Safety ◽  
Direct Relationship ◽  
Infected Fish ◽  
Total Removal ◽  
Safety Measures ◽  
Blue Whiting ◽  
Total Prevalence ◽  
The World ◽  
Human Infections ◽  
Additional Safety

Anisakidosis is a parasitic zoonotic disease which can cause gastroallergic reactions in humans. In 2010, the European Food Safety Agency estimated that approximately 20,000 cases of anisakiasis had been reported across the world, with Spain having the highest number of infections in Europe. The blue whiting (Micromesistius poutassou, Risso, 1827) is one of the most widely fished species worldwide and represents around 25% of the white fish eaten in Spain. The Spanish Food Safety Authority requires obligatory evisceration of certain fish species before commercialization, but not for blue whiting. Nevertheless, some supermarkets carry this out themselves to prevent human infections and negative customer reactions deriving from the presence of ascaridoid larvae. To assess the effectiveness of eviscerations at supermarkets, a total of 320 blue whiting specimens were examined. The risk of larval migration from the visceral cavity to the musculature in gutted and ungutted fish was also assessed. Our results showed a total prevalence (25%) of ascaridoids in fish gutted at the supermarket, and a direct relationship was found between the presence of larvae in the muscle and time until evisceration. In ungutted fish, the standard length and weight were higher for infected than for non-infected fish. Also, massive infections had a higher prevalence in these larger specimens, in which the viability of larvae was also high. Larval viability was not found to be affected by a 24-h refrigeration period. Anisakis was the most prevalent genus identified in the fish examined. The results indicate that gutting at the supermarket is not an effective method for the total removal of ascaridoid larvae and that additional safety measures are advisable.

scholarly journals Monitoring the Impact of the Large Building Investments on the Neighborhood

2021 ◽  
Vol 11 (14) ◽  
pp. 6537
Author(s):  
Marian Łupieżowiec
Keyword(s):  
Groundwater Level ◽  
Soil Improvement ◽  
Deep Excavation ◽  
Large Area ◽  
Safety Measures ◽  
High Rise ◽  
The Impact ◽  
Large Building ◽  
Additional Safety ◽  
Made In

The article presents the concept of monitoring buildings and infrastructure elements located near large construction investments (the construction of high-rise buildings of the Oak Terraces housing estate in Katowice and the construction of a tunnel under the roundabout in Katowice along the intercity express road DTŚ). The impacts include deep excavation, lowering of the groundwater level over a large area, and dynamic influences related to the use of impact methods of soil improvement. The presented monitoring includes observation of the groundwater level with the use of piezometers, geodetic measurements of settlement and inclinations, as well as the measurement of vibration amplitudes generated during the works involving shocks and vibrations. It was also important to observe the development of cracks on the basis of a previously made inventory of damage. The results of the monitoring allow corrections to be made in the technology of works (e.g., reduction of vibration amplitudes, application of additional protections at excavations, etc.) or the use additional safety measures. Currently, there are also monitoring systems used during the operation of completed facilities.

PC based SCADA system and additional safety measures for small desalination plants

Desalination ◽  
2004 ◽  
Vol 165 ◽  
pp. 165-176 ◽  
Author(s):  
S.A. Avlonitis ◽  
M. Pappas ◽  
K. Moutesidis ◽  
D. Avlonitis ◽  
K. Kouroumbas ◽  
...  
Keyword(s):  
Safety Measures ◽  
Scada System ◽  
Desalination Plants ◽  
Additional Safety

Photobiological safety of lamps and lamp systems in agriculture

2021 ◽  
Vol 1 (106) ◽  
pp. 34-41
Author(s):  
A. Semenov ◽  
T. Sakhno ◽  
Y. Sakhno
Keyword(s):  
Experimental Data ◽  
Design Methodology ◽  
Risk Group ◽  
Experimental Studies ◽  
Safety Measures ◽  
Safety Requirements ◽  
Labor Safety ◽  
Uv Lamps ◽  
Practical Implications ◽  
Additional Safety

Purpose: The article aims to study the photobiological safety of ultraviolet radiation of UV lamps in agriculture. Design/methodology/approach: The research and analysis of the lighting characteristics of samples of LUF 80 and LE 30 lamps, which are the most widely used in the agrarian complex. Findings: Experimental studies have shown that the photobiological safety of LUF 80 lamps belongs to the low-risk group RG1, while LE 30 lamps show high risk and are thus assigned to group RG3. Research limitations/implications: It is advisable to continue studying the characteristics of lamps and lamp systems for various fields of agriculture on the market in Ukraine to assess their compliance with safety requirements. Practical implications: The application of the proposed approach allows increasing the level of labor safety in commercial greenhouses or any other industry by choosing the suitable lamps for agriculture that at present are not regulated by additional safety measures. Originality/value: The originality of the article is showing the results of the experimental data of the studies of light-technical characteristics of ultraviolet lamps for agriculture.

scholarly journals Risk assessment for long and short range airborne transmission of SARS-CoV-2, indoors and outdoors, using carbon dioxide measurements.

2021 ◽  
Author(s):  
Florian Poydenot ◽  
Ismael Abdourahamane ◽  
Elsa Caplain ◽  
Samuel Der ◽  
Jacques Haiech ◽  
...  
Keyword(s):  
Public Health ◽  
Health Policy ◽  
Public Health Policy ◽  
Short Range ◽  
Epidemiological Data ◽  
Public Spaces ◽  
Viral Transmission ◽  
Transmission Risk ◽  
Reproduction Rate ◽  
Airborne Transmission

A quantitative analysis of the viral transmission risk in public spaces al- lows us to identify the dominant mechanisms that a proactive public health policy can act upon to reduce risk, and to evaluate the reduction of risk that can be obtained. The contribution of public spaces to the propa- gation of SARS-CoV-2 can be reduced to a level necessary for a declining epidemic, i.e. an overall reproduction rate below one. Here, we revisit the quantitative assessment of indoor and outdoor transmission risk. We show that the long-range aerosol transmission is controlled by the flow rate of fresh air and by the mask filtering quality, and is quantitatively re- lated to the CO2 concentration, regardless the room volume and the num- ber of people. The short-range airborne transmission is investigated ex- perimentally using dedicated dispersion experiments performed in two shopping malls. Exhaled aerosols are dispersed by turbulent draughts in a cone, leading to a concentration inversely proportional to the squared dis- tance and to the flow velocity. We show that the average infection dose, called the viral quantum, can be determined from epidemiological data in a manner consistent with biological experimental data. Practical implications. The results provide quantitative guidance useful for making rational public health policy decisions to prevent the dominant routes of viral transmission through reinforced ventilation, air purification, mechanical dispersion using fans, and incentivizing the wear- ing of correctly fitted, quality facial masks (surgical masks, possibly cov- ered by another fabric mask, or non-medical FFP2 masks). Taken to- gether, such measures significantly reduce the airborne transmission risk of SARS-CoV-2.

scholarly journals Trauma Mechanisms and Injuries Associated with Go-Karting

2010 ◽  
Vol 4 (1) ◽  
pp. 107-110 ◽  
Author(s):  
Hasan H. Eker ◽  
Esther M.M Van Lieshout ◽  
Dennis Den Hartog ◽  
Inger B Schipper
Keyword(s):  
The Netherlands ◽  
High Index ◽  
Medical Attention ◽  
Associated Injuries ◽  
Injury Patterns ◽  
Safety Measures ◽  
Large Variability ◽  
High Index Of Suspicion ◽  
Insight Into ◽  
Additional Safety

Annually, approximately 600 patients seek medical attention after go-kart accidents in the Netherlands. A large variability in injury patterns can be encountered. Knowledge of the trauma mechanisms of go-kart accidents and insight into the associated injuries is limited and requires improvement. Such additional knowledge may lead to customized trauma protocols for patients with a high index of suspicion on go-kart injuries. Research into trauma mechanisms may also lead to implementation of improved or additional safety measures for go-karting, involving both the go-karts itself as well as prerequisites to the go-kart tracks and qualifications for the drivers. The main trauma mechanisms involved in gokart accidents, and three cases to illustrate the variety of injuries are described in the current manuscript.

scholarly journals Knowledge, Attitude and Practice of Personal Safety Measures Adopted by Medical Practioners during the Covid-19 Pandemic

2021 ◽  
Vol 10 (12) ◽  
pp. 883-887
Author(s):  
Hemapriya L ◽  
Maureen Prativa Tigga ◽  
Anil Kumar M.R ◽  
Prathap T ◽  
Neha Wali ◽  
...  
Keyword(s):  
Personal Protective Equipment ◽  
Urban Areas ◽  
Healthcare Workers ◽  
Online Survey ◽  
Healthcare Professionals ◽  
Well Being ◽  
World Health ◽  
Protective Equipment ◽  
Personal Safety ◽  
Safety Measures

BACKGROUND A novel coronavirus (now termed as SARS-CoV-2) was detected as the causative agent of severe pneumonia in Wuhan, Hubei Province, China, in December 2019. Declared by the World Health Organization (WHO) as a global pandemic in March 2020, it has created profound changes in global economy and healthcare systems. This study evaluates the knowledge and practice with regard to various personal safety measures used by the healthcare professionals. METHODS We conducted a questionnaire study after obtaining approval, from the Institutional ethical committee. An online survey was conducted using a preformatted questionnaire consisting of multiple-choice questions which assessed the knowledge and practices adopted by various healthcare professionals. The survey was done between 1st and 30th of June 2020 and a total of 536 responses was analysed. RESULTS 58.4 % of the participants were females, 66 % of the healthcare workers worked at a private hospital / private medical college with 82.1 % being located in urban areas. Of the 536 respondents, 90.1 % practiced bathing immediately after returning home and 86.8 % sanitized their accessories. 86.9 % of the professionals used frequent sanitization with use of mask and gloves whereas only 12.3 % used full personal protective equipment. 58 % of females had used hydroxychloroquine as prophylaxis whereas only 41 % of males used it (statistically significant, P = 0.005). Healthcare workers in younger age group (23 - 40 years) were more likely to maintain distance with family members, and government doctors were significantly more likely to do so (P < 0.001) as compared to private practitioners. CONCLUSIONS With the medical professionals being at high risk for contracting the infection, the need to provide the healthcare professionals with adequate personal protective equipment is of utmost importance. There is also a need to maintain the well-being of the healthcare professionals as they are the weakest link in the chain. KEY WORDS Medical Practitioners, Personal Protective Equipment, Safety Measures

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