scholarly journals Investigating hand dermatitis among nurses in Iran during the outbreak of COVID-19: Comparison of COVID and non-COVID wards

Author(s):  
Nafiseh Imani Khanegah ◽  
Nastaran Ayadi ◽  
Mehdi Heidarzadeh ◽  
Mehdi Ajri-Khameslou ◽  
Mahnaz Davari

Background & Aim: Hand dermatitis is one of the occupational skin diseases among nurses. Due to the prevalence of COVID-19, nurses' exposure to disinfectant solutions has increased, which can increase the incidence of dermatitis among them. The purpose of this study was to determine the prevalence of hand dermatitis among nurses in COVID and non-COVID wards and its related factors during the outbreak of COVID-19 in Iran. Methods & Materials: This descriptive-correlational study was performed by available sampling on 287 nurses. Data were collected using a self-administered questionnaire on hand dermatitis. Data were analysed using SPSS software version 22. Results: The prevalence of hand dermatitis among COVID wards nurses was 65.7% and among non-COVID wards nurses was 36.2%. However, the logistic regression showed that Female gender (P= 0.001, odds ratio=3.19, CI=1.57-6.46), marital status (single) (P= 0.011, odds ratio=2.64, CI=1.25-5.57), age 31-40 (P=0.003, odds ratio=0.16, CI=0.06-0.55), COVID wards (P= 0.000, odds ratio=4.99, CI=2.36-10.59), Allergy history (P= 0.000, odds ratio=13.07, CI=6.12-27.95) increase the prevalence of hand dermatitis among nurses. Conclusion: Hand dermatitis is a serious problem among corona ward nurses. Therefore, timely identification and treatment of this injury can be very helpful. Nurses should receive adequate training and care for hand dermatitis.

2006 ◽  
Vol 121 (3) ◽  
pp. 258-261 ◽  
Author(s):  
A D Cohen ◽  
D M Kaplan ◽  
M Kraus ◽  
E Rubinshtein ◽  
D A Vardy

Background: Nonattendance for appointments is an impediment to otolaryngology patient care worldwide. In a previous study of children attending an otolaryngology clinic, we observed that attendance was determined by the waiting time for an appointment and the timing of the appointment within the day. However, the factors that affect nonattendance in adults have not been well studied.Objective: We aimed to investigate factors associated with nonattendance in adults visiting an otolaryngology clinic.Methods: Nonattendance was observed for a period of one year in adult patients visiting an ambulatory otolaryngology clinic. The following parameters were also noted: age, gender, treating physician, waiting time and timing of the appointment. The chi-square test was used to analyse differences between categorical variables. The t-test was used to analyse differences between continuous variables. Logistic regression was used for multivariate analyses.Results: The study assessed 8071 visits to the otolaryngology clinic. The overall proportion of nonattendance was 27.7 per cent. A multivariate logistic regression model demonstrated that nonattendance was significantly associated with the following factors: female gender, younger age, long waiting time for an appointment, timing of the appointment within the day and the treating physician.Conclusion: In adult otolaryngology patients, nonattendance was associated with patient-related factors and healthcare systems related factors alike. It is suggested that managed overbooking could be carefully introduced into otolaryngology patient scheduling.


2021 ◽  
Vol 9 (G) ◽  
pp. 168-171
Author(s):  
Hery Ernawati ◽  
Anni Fithriyatul Mas'udah ◽  
Ova Emilia ◽  
Lely Lusmilasari ◽  
Laily Isroin ◽  
...  

INTRODUCTION: Fertility in adolescents is closely related to the incidence of early marriage which will have an impact on increasing the incidence of pregnancy in adolescents so that it will directly affect the health of mothers and babies. The younger the age at marriage, the higher the fertility rate. AIM: This study aimed to determine the relationship between contraception and fertility among ado­lescents. METHODS: This quantitative study used a cross-sectional design. The population of this study was adolescents aged 15–19 years in Indonesia. The total sample of 7,547 adolescents was selected from the 2017 Indonesia Demographic and Health Survey (IDHS). Multivariate analysis using binary logistic regression was used to analyze the independent variable (contraception use) on the dependent variable (fertility) with education, work status, region, age at first sexual intercourse, economic status, and marital status as the controlled variables. RESULTS: Multiple logistic regression analysis was used to report the relationship between independent and dependent variables controlled by potential confounder variables. The results showed that the odds ratio of contraceptives users was 46 times compared to non-user after being controlled by confounding variables (AOR=4.8; 95%CI 33.857 – 441.046) after controlled by economic status, age at first exual intercourse, and marital status. CONCLUSION: The relationship between contraceptive use and fertility in adolescents is affected by confounding variables such as age at first sexual intercourse, economic status, and marital status. In addition, the odds ratio of contraceptives users was 46 times compared to non-users after being controlled by confounding variables.


Neurology ◽  
2018 ◽  
Vol 91 (23 Supplement 1) ◽  
pp. S8.3-S9
Author(s):  
Spano Matthew ◽  
Etienne Mill

Brazilian Jiu-Jitsu (BJJ) is a rapidly growing grappling sport with a wide spectrum of participants. This study aimed to analyze the prevalence of concussions among BJJ practitioners while determining potential predictive factors. A 17-question survey was distributed via email to BJJ practitioners in the United States. The survey included questions on practitioners; demographics and the development of a concussion doing BJJ. Among those with a concussion during BJJ, further information was elucidated on symptoms, return to play, and the development of a second concussion. A total of 780 survey responses were analyzed, ranging in age from 18 to 67 with females representing 11.8% of respondents. 25.2% of practitioners reported a concussion doing BJJ. Forty-three percent of females reported a concussion doing BJJ compared to 22.9% of males (X2 [1, n = 740] = 15.129, p = < 0.001). This gender difference did not exist in the prevalence of concussions before starting BJJ (X2 [1, n = 774] = 1.930, p = 0.381). Logistic regression indicated several factors predictive for developing a concussion from participating in BJJ including: having a prior concussion (odds-ratio = 1.691, p = 0.017, 95% CI 1.097, 2.606), the number of competitions in which an athlete participated (odds-ratio = 1.023, p = 0.016, 95% CI 1.004, 1.042), and female gender (odds-ratio = 1.863, p = 0.048, 95% CI 1.006, 3.450). Logistic regression indicated competing more times per year was predictive for developing a second concussion [odds-ratio = 1.038, p = 0.016). After a concussion, the median time to return to BJJ was 3 days. This included 30.8% of participants returning the day of their concussion. The present study represents the first epidemiologic research examining concussions in Brazilian Jiu-Jitsu. The results underscore the need for increased education on concussions and return to play guidelines among BJJ coaches and practitioners.


Author(s):  
Ali PAHNABI ◽  
Solale RAMAZANI ◽  
Ehsan MOHAMMADI ◽  
Ebrahim NASIRI

Introduction: Occupational skin diseases and hand contact dermatitis specifically are among the most common occupational diseases among the healthcare workers. Since surgical technologists have contact with allergens and irritant substances are more susceptible to hand contact dermatitis. Thus, the aim of this study was to evaluate the prevalence of occupational hand contact dermatitis and effective factors among surgical technologists in five educational centers affiliated to Mazandaran University of Medical Sciences. Methods: The present cross-sectional study was conducted over 125 surgical technologists working in the hospitals affiliated with Mazandaran University of Medical Sciences who were selected via census sampling. Later, 97 participants who met the inclusion criteria were investigated. Data were collected by Nordic Occupational Skin questionnaire (NOSQ-2002) through interview and analyzed by SPSS software version 23. Results: The findings indicated that 68% of the examined technologists were female and 57.7% were over 37 years old. The prevalence of hand dermatitis was 45.4% (44 people). The highest prevalence was observed at the back of hands (24.7%) and between fingers (17.5%).  Contact hand dermatitis had a significant correlation with the participants’ gender (p = 0.002), work experience (p = 0.028), and frequency of hand washes (p = 0.021). Moreover, having a history of eczema and allergy (P-Value≤ 0.01) was significantly effective in increasing hand contact dermatitis. Conclusion: The prevalence of hand contact dermatitis is high among surgical technologists. Therefore, hospital managers are required to plan for preventive measures and control the current situation. Furthermore, future researchers are recommended to carry out more studies on allergic dermatitis.


Author(s):  
Elaine C Khoong ◽  
Valy Fontil ◽  
Natalie A Rivadeneira ◽  
Mekhala Hoskote ◽  
Shantanu Nundy ◽  
...  

Abstract Objective The study sought to evaluate if peer input on outpatient cases impacted diagnostic confidence. Materials and Methods This randomized trial of a peer input intervention occurred among 28 clinicians with case-level randomization. Encounters with diagnostic uncertainty were entered onto a digital platform to collect input from ≥5 clinicians. The primary outcome was diagnostic confidence. We used mixed-effects logistic regression analyses to assess for intervention impact on diagnostic confidence. Results Among the 509 cases (255 control; 254 intervention), the intervention did not impact confidence (odds ratio [OR], 1.46; 95% confidence interval [CI], 0.999-2.12), but after adjusting for clinician and case traits, the intervention was associated with higher confidence (OR, 1.53; 95% CI, 1.01-2.32). The intervention impact was greater in cases with high uncertainty (OR, 3.23; 95% CI, 1.09- 9.52). Conclusions Peer input increased diagnostic confidence primarily in high-uncertainty cases, consistent with findings that clinicians desire input primarily in cases with continued uncertainty.


Author(s):  
Kelly Cosgrove ◽  
Maricarmen Vizcaino ◽  
Christopher Wharton

Food waste contributes to adverse environmental and economic outcomes, and substantial food waste occurs at the household level in the US. This study explored perceived household food waste changes during the COVID-19 pandemic and related factors. A total of 946 survey responses from primary household food purchasers were analyzed. Demographic, COVID-19-related household change, and household food waste data were collected in October 2020. Wilcoxon signed-rank was used to assess differences in perceived food waste. A hierarchical binomial logistic regression analysis was conducted to examine whether COVID-19-related lifestyle disruptions and food-related behavior changes increased the likelihood of household food waste. A binomial logistic regression was conducted to explore the contribution of different food groups to the likelihood of increased food waste. Perceived food waste, assessed as the estimated percent of food wasted, decreased significantly during the pandemic (z = −7.47, p < 0.001). Food stockpiling was identified as a predictor of increased overall food waste during the pandemic, and wasting fresh vegetables and frozen foods increased the odds of increased food waste. The results indicate the need to provide education and resources related to food stockpiling and the management of specific food groups during periods of disruption to reduce food waste.


2021 ◽  
Vol 13 ◽  
pp. 1759720X2110248
Author(s):  
Mario Sestan ◽  
Nastasia Kifer ◽  
Marijan Frkovic ◽  
Matej Sapina ◽  
Sasa Srsen ◽  
...  

Background: We analysed clinical and biochemical parameters in predicting severe gastrointestinal (GI) manifestations in childhood IgA vasculitis (IgAV) and the risk of developing renal complications. Methods: A national multicentric retrospective study included children with IgAV reviewed in five Croatian University Centres for paediatric rheumatology in the period 2009–2019. Results: Out of 611 children, 281 (45.99%) had at least one GI manifestation, while 42 of 281 (14.95%) had the most severe GI manifestations. Using logistic regression several clinical risk factors for the severe GI manifestations were identified: generalized rash [odds ratio (OR) 2.09 (95% confidence interval (CI) 1.09–4.01)], rash extended on upper extremities (OR 2.77 (95% CI 1.43–5.34)] or face [OR 3.69 (95% CI 1.42–9.43)] and nephritis (IgAVN) [OR 4.35 (95% CI 2.23–8.50)], as well as lower values of prothrombin time (OR 0.05 (95% CI 0.01–0.62)], fibrinogen [OR 0.45 (95% CI 0.29–0.70)] and IgM [OR 0.10 (95% I 0.03–0.35)]] among the laboratory parameters. Patients with severe GI involvement more frequently had relapse of the disease [OR 2.14 (CI 1.04–4.39)] and recurrent rash [OR 2.61 (CI 1.27–5.38)]. Multivariate logistic regression found that the combination of age, GI symptoms at the beginning of IgAV and severity of GI symptoms were statistically significant predictors of IgAVN. Patients in whom IgAV has started with GI symptoms [OR 6.60 (95% CI 1.67–26.06)], older children [OR 1.22 (95% CI 1.02–1.46)] with severe GI form of IgAV (OR 5.90 (95% CI 1.12–31.15)] were particularly high-risk for developing IgAVN. Conclusion: We detected a group of older children with the onset of GI symptoms before other IgAV symptoms and severe GI form of the IgAV, with significantly higher risk for acute and chronic complications of IgAV.


2021 ◽  
Vol 47 (1) ◽  
Author(s):  
Amare Muche ◽  
Reta Dewau

Abstract Background In Ethiopia, stunting is the most common form of undernutriton. Identifying the determinants of severe stunting among children is crucial for public health interventions to improve child health. Therefore, this study aimed to identify the determinants of severe stunting among under-five children in Ethiopia. Methods A community-based cross-sectional study design was employed. A two stage stratified cluster sampling technique was used. A multilevel ordinal logistic regression model was fitted to identify independent determinants. Adjusted odds ratio (AOR) and median odds ratio (MOR) with its 95% confidence interval at p-value< 0.05 were used to declare statistical significance. Results The result of this study showed that about 18% of the children were severely stunted. Being male increased the severity of stunting in children by 26% adjusted odds ratio (AOR): 1.26 (95% CI: 1.09–1.46), compared to female sex; over-weight mothers increased the severity of stunting in their children AOR: 3.43 (95% CI: 2.21–5.33) compared to normal BMI mothers; and children from middle, poorer, and poorest wealth index households were 1.84 (95% CI:1.27–2.67), 2.13 (95% CI, CI:1.45–3.14) and 2.52 (95% CI,1.72–3.68). In contrast, severe stunting was reduced by 62% (AOR: 0.38, 95% CI: 0.20–0.74) and 48% (AOR = 0.52, 95% CI: 0.37–0.72) in children of educated mothers compared to children of uneducated mothers and children of underweight mothers compared with those children of normal BMI mothers respectively. For each one-unit increase in maternal height, there is a 5% significant reduction in the child’s odds of being severely stunted. After controlling for other factors, the effect of predictors on the likelihood of stunting in high risk clusters increased by a median odds ratio (MOR) of 1.83 (95% CI: 1.69–2.00). Conclusions The magnitude of severe childhood stunting was still high with regional variation in Ethiopia. Child age, sex, maternal height, age, education and household wealth index as well as administrative regions were significantly associated factors with severe stunting. Significant interventions shall be implemented at the individual, household and community levels in order to reduce the problem.


2001 ◽  
Vol 28 (11) ◽  
pp. 628-631 ◽  
Author(s):  
Hsin-Su Yu ◽  
Chih-Hung Lee ◽  
Shiou-Hwa Jee ◽  
Chei-Kong Ho ◽  
Yue-Liong Guo

Author(s):  
Amira Omrane ◽  
Asma Khedher ◽  
Chayma Harrathi ◽  
Maher Maoua ◽  
Taoufik Khalfallah ◽  
...  

Background: Healthcare workers are at a high risk of developing Occupational Dermatitis (OD). Affected workers often experience severe impairment of their Quality of Life (QoL). This study aimed to assess the skin-related QoL of healthcare workers with OD and to explore its related factors. Methods: A cross-sectional and exhaustive study was conducted among healthcare personnel of four public hospitals in the central region of Tunisia. All the cases of OD declared were included. Skin-related QoL was assessed using the validated Tunisian version of the “Dermatology Life Quality Index” (DLQI). Some related patents were discussed. Results: A total of 37 cases of OD were collected with an annual incidence of 4.2 cases per 10000 workers. The population was predominantly female (73%) and mean aged 44.7±9.4 years. Nurses were the most represented occupational category (38%). Allergic contact dermatitis was the most frequent diagnosis (96%). Use of gloves was the most frequently reported occupational hazard (86%). The most frequently affected sites were hands (97%). The median score of DLQI was five. Multivariate analysis showed an association between the impairment of skin-related QoL and female gender (p = 0.04; OR = 19.3,84), exposure to disinfecting chemicals in the workplace (p = 0.01; OR = 17,306) and the absence of occupational reclassification (p = 0.01; OR = 21,567). Conclusion: About one third of the population had an impaired quality of life. The score impairment was significantly related to female gender, exposure to disinfecting chemicals and the absence of occupational reclassification.


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