scholarly journals Does a Modified Adhesive Respirator Improve the Face Seal for Health Care Workers Who Previously Failed a Fit Test?

2020 ◽  
Vol 14 (8) ◽  
pp. e01264
Author(s):  
Richa Wardhan ◽  
Meghan M. Brennan ◽  
Holden L. Brown ◽  
Trey B. Creech
Author(s):  
Santosh Kumar Swain ◽  
Pragnya Paramita Jena

The current novel corona virus disease 2019 (COVID-19) is a highly infectious disease of the respiratory tract and rapidly spreading all over the world in short span of time. In current COVID-19 pandemic, use of the face mask is becoming usual and ubiquitous for both health care workers and public individuals. Wearing face mask is one of the non-pharmaceutical interventions which need minimum cost and provide dramatic response for preventing the COVID-19 infection. Limited availability of the vaccine and inadequate supply of therapeutic options, face mask use is an important part for public health measures for restricting the COVID-19 spread. Regardless of the debate among medical community regarding global face mask production shortage, a greater number of countries in the world are moving ahead with recommendations or mandates for using face mask in public. As currently global shortage of N95/FFP2 respirators and surgical masks for use by health care workers in the hospitals, simple cloth masks will act as a pragmatic solution for the use of the public. General public often use the surgical mask or even filtering facepiece (FFP) masks irrespective of their need, resulting unnecessary shortage for needy individuals those are exposed to the patients or those are health care workers. So, this review article will clarify the indication of the different types of masks and their rational use in the current COVID-19 pandemic.


Author(s):  
Gerald Steiner ◽  
Lukas Zenk ◽  
Eva Schernhammer

COVID-19 painfully demonstrates how little resilience our societies have to novel viruses. Societies, decision makers, and scientists lack (1) a comprehensive understanding of the complexity of viral outbreaks and their impact on society; (2) intervention portfolios; and (3) a global crisis and resilience policy, all of which are required to develop appropriate measures and to improve societal resilience. We highlight COVID-19 immunity as one key benchmark in preparation for the next wave of the pandemic. Specifically, using network scenarios, we demonstrate the substantial advantage of reintegrating health care workers with acquired COVID-19 immunity in epidemic hotspots, which would not only enable their safe contribution to the health care system but also drastically contain further spread.


2020 ◽  
Vol 8 (9) ◽  
pp. 146-150
Author(s):  
Ann Carlock ◽  
Susanne Beier ◽  
John Sienrukos

One in six senior citizens (age 65 years and older) living alone in the United States faces physical, cultural, and/or geographical barriers that isolate them from their peers and communities. This isolation can prevent them from receiving benefits and services that can improve their economic security and ability to live healthy, independent lives. Although it is generally known that depression is not directly related to the aging process, adults 65 years and older are more likely to experience depression due the onset of physical limitations, living alone, decreases in mobility, feelings of purposeless, cognitive decline, and fear of dying (Neff 2020). Prior to COVID-19, older adults attending senior activities centers (SAC) were instrumental in decreasing episodes of depression. This is largely based on socialization with peers, getting out of the home and, and listening to the life experiences of the much older adults. Since COVID-19, social distancing has been encouraged and the elimination of social gathering has been emphasized, which was, heretofore, expected in senior activities center settings. In the authors’ combined experience, the primary goal of successfully transitioning senior citizens returning to senior activities centers can best be accomplished by mental health care workers use of the EASE method. EASE stands for E: educate: Mental health care workers must educate older adults on the importance of social distancing in decreasing the spread of COVID-19 to the most vulnerable population (based on age and pre morbid conditions). By training staff to educate older adults on CDC guidelines relative to COVID-19 on proper handwashing, the wearing of facemasks to cover the mouth and nose, and to seek medical attention if Covid-19 symptoms are present, is essential. A: avoid: mental health care workers must constantly remind older adults to avoid the touching of the face and eyes. From picking up objects to turning doorknobs, people are constantly touching surfaces contaminated with pathogens. These pathogens can be picked up by our hands and get into the body through mucous membranes on the face — eyes, nose, and mouth — that act as pathways to the throat and lungs (Elder NC, Sawyer W, Pallerla H, Khaja S, Blacker M, 2014). S: support: Mental health care workers who work in senior activities centers. Senior should strive to support and provide an environment for older adults engaging them in opportunities for socialization, exercise, and education. The more active a senior citizen is, the healthier they will be. Recent research suggests when older adults consistently engage in social activities, they experience significant improvements in their physical, mental, and emotional health. Much of this improvement results from the ability to maintain healthy relationships and a continued sense of being part of society. E: Eliminate: mental health care workers should convey to older adults the need to eliminate activities that may contribute to contracting Covid-19, such as smoking and decreasing contact with those that smoke. Educating mental health workers on the benefits of transitioning the (EASE) of senior citizens back to attending the senior activities center will better assist this population to return to and overcome their fears to participate in the “new normal” beyond convid-19. Senior activities centers have been and will continue to be valuable community assets providing significant benefit to older adults and their families. Change  in these programs will have to be significant enough to make a difference for this large demographic group. Using the EASE Method will assist with meeting the scale of change with the scale of the demand for Seniors to feel safe to return to Senior activities Centers.


2020 ◽  
Vol 11 ◽  
pp. 215013272096616 ◽  
Author(s):  
Leelawadee Techasatian ◽  
Sirirus Lebsing ◽  
Rattapon Uppala ◽  
Wilairat Thaowandee ◽  
Jitjira Chaiyarit ◽  
...  

Purpose: The study aimed to explore the prevalence and possible risk factors to prevent the face mask related adverse skin reactions during the ongoing COVID-19 after a recommendation of face mask wearing for public use in Thailand. Results: The prevalence of face mask related adverse skin reactions was 454 cases (54.5%), of which acne was the most frequent (399; 39.9%), followed by rashes on the face (154; 18.4%), and itch symptoms (130; 15.6%). Wearing a surgical mask showed a higher risk of adverse skin reaction compared to a cloth mask, OR (95% CI) = 1.54 (1.16-2.06). A duration of face mask wearing of more than 4 hours/day and the reuse of face masks increased the risk of adverse skin reactions compared to changing the mask every day, adjusted OR(95% CI) = 1.96 (1.29-2.98), and 1.5 (1.11-2.02). Conclusion: Suggestions were made for wearing a cloth mask in non-health care workers (HCW) to decrease the risk of face mask related adverse skin reactions. This suggestion could potentially help in decreasing the demand of surgical masks which should be reserved for the HCW population during the ongoing COVID-19 pandemic.


2020 ◽  
pp. 254-256
Author(s):  
A.M. Savych

Background. In case of coronavirus disease (COVID-19), contact persons include, but are not limited to, health care workers (HCW) and caregivers of COVID-19 patients. Personal protective equipment is required for HCW working with patients or individuals with suspected COVID-19. Correct sequence and the correct technique of putting them on is very important. Objective. To describe the safety measures for HCW in care of patients with COVID-19. Materials and methods. Analysis of literature sources on this topic. Results and discussion. Contaminated environmental surfaces take part in the contact route of transmission. To reduce the role of fomites in the transmission of the new SARS-CoV-2 coronavirus, special recommendations of the Ministry of Health on surface cleaning and disinfection have been developed. After cleaning, disinfectants must be used to reduce the viral load on the surface. These disinfectants are also effective against other pathogens that are important in health care settings. Such agents include ethanol 70-90 %, chlorine-based agents, and hydrogen peroxide >0.5 %. The register of disinfectants of Ukraine contains more than 200 brands. The vast majority of them are represented by alcohol- and chlorine-containing solutions of various concentrations, colors and odors. The use of these solutions is limited to the torso and extremities. These solutions have a number of limitations and caveats in their use. For instance, in case of contact with mucous membranes, they have an irritating effect and require rinsing with plenty of water. Vapors of some of them should not be inhaled, so they should be used in well-ventilated areas or with protective equipment. Alcohol-based products should not be applied to damaged areas of the skin due to protein denaturation. The Food and Drug Administration (FDA) recommends to use the chlorine- and alcohol-based solutions with caution due to the lack of evidence of their safety. The decamethoxine-based solution Yusept (“Yuria-Pharm”) is intended for disinfection of hands and other parts of the body, including the face; for disinfection of HCW gloves and gloves in other places; for disinfection and pre-sterilization cleaning of all medical devices from various materials; for disinfection of hairdresser’s, manicure, pedicure and cosmetic accessories; for disinfection of rooms, furniture, patient care items, hygiene products, utensils, containers, sanitary equipment, rubber carpets; for current, final and preventive disinfection; for use in aerosol disinfection systems such as Yu-box and other disinfection systems. Proper hand washing technique is also an important preventive measure. The effectiveness of prevention of HCW infection during their professional duties depends on how serious the problem is taken by the management of the health care institution and the HCW, who work with infectious patients, themselves. Conclusions. 1. For HCW working with patients or persons with suspected COVID-19, the use of personal protective equipment is mandatory. 2. Contaminated surfaces take part in the implementation of the contact route of infections’ transmission. 3. The vast majority of disinfectant solutions are alcohol- and chlorine-containing ones, which have a number of limitations and precautions in use. 4. Yusept solution is intended for disinfection of hands and other parts of the body, including the face; for disinfection and pre-sterilization cleaning of all medical devices; for disinfection of rooms, furniture, patient care items; for use in aerosol disinfection systems.


2021 ◽  
pp. 107780122110373
Author(s):  
Rachelle Chadwick

This commentary is a response to the article by Lappaman and Swartz, “How gentle must violence against women be in order not to be violent?” in which the term “obstetric violence” is critiqued. The authors argue that the term is harmful and does violence (to health care workers and even birthers themselves) and is not helpful to efforts to improve or reform maternity care. They suggest that we abandon the term and use less inflammatory descriptions (i.e., such as “mistreatment”) instead. While recognizing the inevitable risks involved in naming and writing about obstetric violence, I argue that these risks are necessary in the interests of struggling against unjust systems. I unpack the authors' critique and argue that it ultimately works to minimize experiences of obstetric violence, silence the voices of those that have been speaking out on this issue for a very long time, and casts doubt on the legitimacy of a concept that has only recently received global recognition (after a long and transnational struggle). These harms and dangers are not necessarily the direct intentions of the authors but are embedded in wider structures of power that are often incredulous, disbelieving, and dismissive in the face of testimonies and evidence of gendered and racialized pain/violence.


Author(s):  
Todd L. Benham ◽  
Alexander Hart ◽  
Michelangelo Bortolin ◽  
Michael Court ◽  
John Groves ◽  
...  

ABSTRACT The global community needs to be aware of the potential psychosocial consequences that may be experienced by health care workers who are actively managing patients with coronavirus disease (COVID-19). These health care workers are at increased risk for experiencing mood and trauma-related disorders, including posttraumatic stress disorder (PTSD). In this concept article, strategies are recommended for individual health care workers and hospital leadership to aid in mitigating the risk of PTSD, as well as to build resilience in light of a potential second surge of COVID-19.


2020 ◽  
pp. 019459982095727
Author(s):  
Isaac D. Erbele ◽  
Moisés A. Arriaga ◽  
Daniel W. Nuss

The COVID-19 pandemic has challenged every surgical discipline. Lessons learned from Hurricane Katrina have informed our department’s management of the current crisis. That experience impressed upon us a profound appreciation for shared decision making in the face of scarce resources, an evolving clinical context, and potential harm to patients and health care workers. To that end, we have formed a Resource Utilization Committee to prospectively review all nonemergent surgical cases during the current crisis. This has allowed “state-of-the-pandemic” otolaryngologic care in a real-time, collaborative, and high-information setting. In addition, to protect our patients and health care workers, it has influenced our institution’s thoughtful application of COVID testing and the use of personal protective equipment.


2021 ◽  
Vol 3 (3) ◽  
pp. 01-03
Author(s):  
Nadeem Iqbal

Due to safety concerns to health care workers and the patients alike, hospitals are have been in a desperate search for medical supplies and physicians in the face of overloaded hospitals. The need for social distancing to safeguard the health care personnel and patients have warranted new tools for running an ophthalmic clinic. Before the implementation of social distancing measures, most patients were ignorant of a telemedicine option in clinical visits. Also, leading telehealth platforms have reported a tremendous increase in virtual patient visits. This rise has been proportional to the regional impacts brought by coronavirus infection. In this review article, we tried to highlight the challenges faced by healthcare providers and patients in the ophthalmology clinic.


2007 ◽  
Vol 1 (03) ◽  
pp. 329-332 ◽  
Author(s):  
Maia Butsashvili ◽  
Wayne Triner ◽  
George Kamkamidze ◽  
Maia Kajaia ◽  
Louise-Anne McNutt

Background: Avian influenza has been documented in over 331 humans since 2003 with 203 associated deaths. Health Care Workers (HCWs) have been shown to be at personal risk during other highly virulent outbreaks with a high attack rate. This study aimed to determine the magnitude and factors associated with absenteeism of hospital based health care workers (HCWs) in Georgia associated with a potential highly virulent influenza pandemic. Methodology: This was a cross-sectional study of how HCWs responded to a potentially highly virulent influenza pandemic in two urban hospitals in Georgia. Hospital based physicians and nurses were studied. Data was collected utilizing a survey instrument. The survey was either self-administered or interviewer administered based upon the preference of the respondent. Results: There were 288 HCWs surveyed. The study suggested a 23% rate of worker absenteeism, predominately among women and nurses. The majority of the respondents (58.1%), mostly HCWs less than age 35, were opposed to forced isolation or quarantine of staff during a highly virulent influenza pandemic. Seventy-six percent of respondents correctly reported that the strain of virus that was responsible for the outbreaks in the neighboring countries was H5N1. Only 15.5% of respondents, however, correctly identified influenza as the culprit virus. Conclusions: The rate of work absenteeism suggested by this study represents a significant workforce reduction. There are specific groups who would choose not to attend work in the face of a flu pandemic. This information may allow planners to target these specific groups for education and social support services to encourage greater inclination to attend to clinical duties.


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