Authors response (October 15, 2017) to the letter to the Editor concerning the paper “Factors affecting exposure level for medical staff during orthopedic procedures under fluoroscopic control”

Noise generated in the intensive care unit (ICU) adversely affects both critically ill patients and medical staff. Recently, several attempts have been made to reduce ICU noise levels, but reliable and effective solutions remain elusive. This study aimed to provide evidence on noise distributions in the ICU to protect patient health. For one week, we measured noise levels in isolated rooms, open units, and nursing stations in medical, surgical, and pediatric ICUs, respectively. We additionally analyzed the noise generated by medical equipment that is frequently used in ICUs. The median (interquartile range) noise exposure level (dBA) of all ICU units was 54.4 dB (51.1–57.5) over 24 h. The highest noise exposure was noted in the surgical ICU’s daytime open unit at 57.6 dB (55.0–61.1). Various ICU medical devices continuously generated low-frequency noise. Mechanical noise levels ranged from a minimum of 41 dB to a maximum of 91 dB. It was also confirmed that patient-monitoring devices generated loud, high-frequency noise at 85 dB. ICU noise levels were much higher than expected. Noise reduction that focuses on behavior modification of medical staff has limited potential; instead, structural improvements should be considered to reduce the transmission of noise.

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Letter to the editor Nutritional assessment and factors affecting dietary intake in patients with cirrhosis

Nutrition ◽

10.1016/j.nut.2021.111208 ◽

2021 ◽

pp. 111208

Author(s):

Praveen Sharma ◽

Anil Arora

Keyword(s):

Dietary Intake ◽

Nutritional Assessment ◽

Factors Affecting ◽

Letter To The Editor

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Fear of Medical Staff: The Importance of Stigmatization during the COVID-19 Pandemic: Letter to the Editor

Journal of Shahid Sadoughi University of Medical Sciences ◽

10.18502/ssu.v29i10.8202 ◽

2022 ◽

Author(s):

Farzin Bagheri Sheykhangafshe ◽

Elnaz Sadeghi Chookami

Keyword(s):

Physical Health ◽

Social Communication ◽

Medical Staff ◽

Asymptomatic Carrier ◽

Social Stigma ◽

Hospital Staff ◽

Ministry Of Education ◽

Education And Health ◽

Letter To The Editor ◽

Nurses And Physicians

Introduction: During the COVID-19 pandemic, although hospital staff cared for patients, they were recognized in the community as an asymptomatic carrier and people were afraid and anxious about them. To the extent thateven the families of hospital staff experienced this social stigma, and many people cut off contact with them. In addition to the stigma that medical staff received from people during the COVID-19 pandemic, many people were stigmatized and feared that as an asymptomatic carrier they would endanger the health of their families and those around them. For this reason, they tried to limit social communication and be more present at home and at work. Hospital staff were among the first to deal with the deadly virus and relinquish their physical health. Many nurses and physicians stay awake for long hours to save the lives of patients with COVID-19. Unfortunately, we have seen people fear and avoid the hospital staff, which has led to increased burnout and depression in the medical staff. For this purpose, it is necessary to take measures to socially motivate the medical staff of hospitals by the Ministry of Education and Health.

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FACTORS AFFECTING EXPOSURE IN TOTAL KNEE REPLACEMENT USING SUBVASTUS APPROACH

10.36106/3731394 ◽

2021 ◽

pp. 67-72

Author(s):

Abhirup Bose ◽

Kaushal Malhan

Keyword(s):

Knee Replacement ◽

Valgus Deformity ◽

Exposure Level ◽

Subvastus Approach ◽

Factors Affecting ◽

Key Factor ◽

Total Knee ◽

Patient Factor ◽

And Control ◽

Near Future

INTRODUCTION: A key factor in minimally invasive knee surgery is protecting and preserving muscles. The muscles provide strength and control of our knee range of motion. The muscles are also an important factor in regaining motion. As one would expect, not cutting or detaching muscles around the knee results in less pain, better motion and faster recovery as in Subvastus approach of TKR. This study is Randomized prospective observational study, in which few signicant patient factor like :- FFD, BMI, Insall-Salvati score, muscle to bone ratio and varus valgus deformity got studied with respect to the Exposure level achieved by surgeon during knee replacement operation via Subvastus approach. This study in near future would help surgeons to decide whether a particular patient for knee replacement can be considered for surgery via Subvastus approach ,which is superior in terms of postop – rehabilitation and pain score than conventional approaches. 60 MATERIALS AND METHODS: patients with difculty in walking or pain in knee, requiring replacement are taken in this study from January 2019 to December 2019. DISCUSSION: The study shows that the exposure level for the surgeons gets restricted when the patient is Obese, muscularand one having xed exion deformity of his knee. Recurvatum on the other hand positively related to exposure level , which means patient with knee recurvatum had better exposure level in Tkr via Subvastus approach. Subvastus approach for Total knee re CONCLUSION: placement has benets of early postop recovery and better patient compliance but greater surgical skills of operating surgeon required because of reduced exposure level in surgery and muscle bulk is preserved.

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