Analysis of microtraumas of medical personnel in the workplace in a surgical hospital

2021 ◽  
Vol 90 (4) ◽  
pp. 33-37
Author(s):  
O.V. Kolenko ◽  
◽  
O.A. Pryadko ◽  
V.V. Yegorov ◽  
A.M. Duka ◽  
...  
Keyword(s):  
At Risk ◽  
Infectious Diseases ◽  
Medical Personnel ◽  
Structure And Dynamics ◽  
Dynamic Observation

The article presents an analysis of microtraumas at the workplace of medical workers of an ophthalmic surgical hospital based on the results of dynamic observation for 10 years. The structure and dynamics of microtraumas, the categories of medical workers most at risk of emergencies at the workplace are given. The structure of non-infectious diseases of patients has been determined

scholarly journals Executive Summary: 2016 Infectious Diseases Society of America (IDSA) Clinical Practice Guideline for the Treatment of Coccidioidomycosis

2016 ◽  
Vol 63 (6) ◽  
pp. 717-722 ◽  
Author(s):  
John N. Galgiani ◽  
Neil M. Ampel ◽  
Janis E. Blair ◽  
Antonino Catanzaro ◽  
Francesca Geertsma ◽  
...  
Keyword(s):  
At Risk ◽  
Infectious Diseases ◽  
Practice Guideline ◽  
Management Strategies ◽  
Systemic Infection ◽  
Western Hemisphere ◽  
Executive Summary ◽  
Valley Fever ◽  
Critical Elements ◽  
At Risk Populations

Abstract It is important to realize that guidelines cannot always account for individual variation among patients. They are not intended to supplant physician judgment with respect to particular patients or special clinical situations. Infectious Diseases Society of America considers adherence to these guidelines to be voluntary, with the ultimate determination regarding their application to be made by the physician in the light of each patient's individual circumstances. Coccidioidomycosis, also known as San Joaquin Valley fever, is a systemic infection endemic to parts of the southwestern United States and elsewhere in the Western Hemisphere. Residence in and recent travel to these areas are critical elements for the accurate recognition of patients who develop this infection. In this practice guideline, we have organized our recommendations to address actionable questions concerning the entire spectrum of clinical syndromes. These can range from initial pulmonary infection, which eventually resolves whether or not antifungal therapy is administered, to a variety of pulmonary and extrapulmonary complications. Additional recommendations address management of coccidioidomycosis occurring for special at-risk populations. Finally, preemptive management strategies are outlined in certain at-risk populations and after unintentional laboratory exposure.

scholarly journals Ramadan fasting and infectious diseases: a systematic review

2015 ◽  
Vol 9 (11) ◽  
pp. 1186-1194 ◽  
Author(s):  
Nicola Luigi Bragazzi ◽  
Walid Briki ◽  
Hicham Khabbache ◽  
Ismail Rammouz ◽  
Sofiane Mnadla ◽  
...  
Keyword(s):  
Systematic Review ◽  
At Risk ◽  
Infectious Diseases ◽  
Ad Hoc ◽  
Infectious Complications ◽  
Drug Combinations ◽  
Ramadan Fasting

Ramadan represents the fourth of the five pillars of the Islamic creed. Although patients are exempted from observing this duty, they may be eager to share this moment of the year with their peers. However, there are no guidelines that can help physicians to address the concerns of patients with infectious diseases fasting during Ramadan. For this purpose, we performed a systematic review. of 51 articles. Our main findings are that: 1) patients suffering from diabetes at risk of developing infectious complications should not fast; 2) Ramadan fasting has little impact on diarrheal patients; 3) HIV represents a challenge, and ad hoc drug combinations should be recommended to patients, and the patients should be advised not to take fatty meals that could interfere with the treatment; 4) Ramadan has no effect on the effectiveness of anti-helminthic therapy; and 5) patients with active ulcers should not fast, as they have a higher probability of developing complications.

COVID-19 in healthcare workers (literature review and own data)

2021 ◽  
Vol 61 (1) ◽  
pp. 18-26
Author(s):  
Lyubov A. Shpagina ◽  
Lyudmila P. Kuzmina ◽  
Olga S. Kotova ◽  
Ilya S. Shpagin ◽  
Natalya V. Kamneva ◽  
...  
Keyword(s):  
Health Care ◽  
At Risk ◽  
Health Care Workers ◽  
Work Experience ◽  
Medical Personnel ◽  
Scientific Data ◽  
Main Group ◽  
Panic Attacks ◽  
Care Workers ◽  
Occupational Infection

Introduction. Health care workers are at risk of infection with the SARS-CoV-2 virus. However, many aspects of the professionally conditioned COVID-19 are still poorly understood. The aim of study is to conduct a brief review and analysis of scientific data on the prevalence, features of clinical and laboratory COVID-19 syndromes in medical professionals. To evaluate the structure of post-COVID syndrome in health care workers who are observed in a large multidisciplinary medical organization that has a center for occupational pathology. To present the current state of the problem of examination of the connection of COVID-19 with the profession and admission to work in conditions of high risk of SARS-CoV-2 infection. Materials and methods. At the first stage, a brief review of the literature on the problem of COVID-19 in health care workers was performed, at the second - a single-center observational prospective study of COVID-19 convalescents. The main group consisted of health care workers (n=203), the comparison group - people who do not have occupational health risks (n=156). The groups were comparable in demographic characteristics. The work experience of the medical staff was 15 (5; 21) years. Of the participants in the main group, 20.2% worked in hospitals, and 79.8% in outpatient institutions. Three of the participants (1.5%) were employees of specialized COVID hospitals. Doctors were 25.6%, secondary medical personnel - 51.7%, junior medical and technical personnel - 22.7%. A severe form of COVID-19 was suffered by 25 (12.3%) people, after the artificial ventilation of the lungs (AVL) - two participants. The observation time is 60 days. Statistical analysis included standard methods of descriptive statistics, determination of relationships by the method of logistic regression. The significance level is p<0.05. Results. Most of the known data on COVID-19 in health care workers is obtained in cross-sectional studies. The possibility of occupational infection has been sufficiently proven. The risk probably depends on the work performed and is higher in conditions of direct contact of medical personnel with adults, potentially infected patients, but not in a specialized hospital. It is possible that the course of COVID-19 in health care workers differs from the general population of patients there is evidence of a greater frequency of weakness and myalgia. Studies of the features of post-COVID syndrome in health care workers in available sources could not be identified. According to the results of their own research, health care workers who had experienced COVID-19 had a higher frequency of central thermoregulation disorders, arrhythmias, heart failure, panic attacks and depression. Conclusions. Health care workers are at risk of COVID-19. Professionally conditioned post-COVID syndrome is characterized by the frequency of violations of the central mechanisms of thermoregulation and arrhythmias. COVID-19 in health care workers meets the definition of occupational disease.

scholarly journals KONSEP PERLINDUNGAN HUKUM BAGI TENAGA MEDIS DALAM PENANGANAN COVID 19

2021 ◽  
Vol 9 (1) ◽  
pp. 52
Author(s):  
Dyah Tri Handini
Keyword(s):  
At Risk ◽  
Immune System ◽  
Criminal Law ◽  
Medical Practice ◽  
Public Awareness ◽  
Legal Protection ◽  
Medical Personnel ◽  
Employment Law ◽  
Ministry Of Health ◽  
The Republic

<p><em>This article aims to understand the concept of legal protection for medical personnel in handling COVID-19. The increase in the incidence of covid 19 has an impact on the workload experienced by medical personnel, causing a decrease in the immune system of medical personnel. Most people who think that covid 19 is just a conspiracy have an impact on reducing public awareness in preventing covid 19. People who lack awareness of the importance of the covid 19 protocol will result in medical personnel being more at risk of being exposed to and experiencing covid 19. The results of this article show that there has been legal protection for medical personnel in handling COVID-19, both criminal law protection and employment law. The conclusion of this article is that the aspect of legal protection for medical personnel is contained in the codeki, Law R1 NO 29 of 2004 concerning Medical Practice, especially Article 48 concerning Medical Secrets, Regulations of the Minister of Health of the Republic of Indonesia number 269 and 290 and the Ministry of Health of the Republic of Indonesia</em><em>.</em></p><p><strong>Keywords<em>:</em></strong><em> Legal Protection, Medical Personnel, Covid-19.</em></p><p> </p><p>Artikel ini bertujuan untuk megetahui konsep perlindungan hukum bagi tenaga medis dalam penanganan covdi 19. Peningkatan kejadian covid 19 berdampak pada beban kerja yang dialami oleh tenaga medis sehingga meyebabkan penurunan sistem imun pada tenaga medis. Kebanyakan masyarakat yang menganggap bahwa covid 19 hanyalah sebuah konspirasi berdampak pada berkurangnya kesadaran masyarakat dalam pencegahan covid 19. Masyarakat yang kurang kesadaran akan pentingnya protokol covid 19 akan mengakibatkan tenaga medis lebih berisiko terpapar dan mengalami covid 19. Hasil artikel ini menunjukkan bahwa telah adanya perlidungan hukum bagi tenaga medis dalam penanganan covid 19, baik perlindungan hukum pidana maupun hukum ketenagakerjaan.  Kesimpulan artikel ini bahwa aspek perlindungan hukum bagi tenaga medis tertuang pada kodeki, UU R1 NO 29 Tahun 2004 tentang Praktek Kedokteran, khususnya pasal 48 tentang Rahasia Kedokteran, Peraturan Menteri Kesehatan Republik Indonesia nomor 269 dan 290 serta Kemenkes RI.</p><strong>Kata Kunci:</strong> Perlindungan Hukum, Tenaga Medis, Covid-19

scholarly journals Universal mobile protection system for aerosol‐generating medical interventions in COVID-19 patients

2020 ◽  
Author(s):  
Florian Straube ◽  
wendtner clemens ◽  
Stefan Volz ◽  
Uwe Dorwarth ◽  
Markus Engel ◽  
...  
Keyword(s):  
Infectious Diseases ◽  
Medical Personnel ◽  
Protection System ◽  
Aerosol Formation ◽  
Medical Interventions ◽  
Medical Disciplines

A universal, mobile protection system for work close to patients suffering from acute infectious diseases with aerosol formation has been developed. It is considered useful by the main medical disciplines involved in the treatment of CoVid patients. In those times, disposable protection gear is scarce, and the robust, reusable protection system might be helpful for medical personnel to work more safely in vulnerable situations.

scholarly journals A Temporal Network Model for Livestock Trade Systems

2021 ◽  
Vol 8 ◽  
Author(s):  
Sara Ansari ◽  
Jobst Heitzig ◽  
Laura Brzoska ◽  
Hartmut H. K. Lentz ◽  
Jakob Mihatsch ◽  
...  
Keyword(s):  
Infectious Diseases ◽  
Network Model ◽  
Experimental Results ◽  
Temporal Network ◽  
Structure And Dynamics ◽  
Node Centrality ◽  
Trading Activities ◽  
Disease Spreading ◽  
Animal Trade ◽  
Livestock Trade

The movements of animals between farms and other livestock holdings for trading activities form a complex livestock trade network. These movements play an important role in the spread of infectious diseases among premises. For studying the disease spreading among animal holdings, it is of great importance to understand the structure and dynamics of the trade system. In this paper, we propose a temporal network model for animal trade systems. Furthermore, a novel measure of node centrality important for disease spreading is introduced. The experimental results show that the model can reasonably well describe these spreading-related properties of the network and it can generate crucial data for research in the field of the livestock trade system.

scholarly journals The polymorphism L412F in TLR3 inhibits autophagy and is a marker of severe COVID-19 in males.

2021 ◽  
Author(s):  
Susanna Croci ◽  
Mary Anna Venneri ◽  
Stefania Mantovani ◽  
Chiara Fallerini ◽  
Elisa Benetti ◽  
...  
Keyword(s):  
At Risk ◽  
Clinical Trials ◽  
Infectious Diseases ◽  
Class Ii ◽  
Autoimmune Disorders ◽  
Hek293 Cells ◽  
Poly I:C ◽  
Specific Class ◽  
Co Morbidity ◽  
Hla Haplotypes

The polymorphism L412F in TLR3 has been associated with several infectious diseases. However, the mechanism underlying this association is still unexplored. Here, we show that the L412F polymorphism in TLR3 is a marker of severity in COVID-19. This association increases in the sub-cohort of males. Impaired autophagy and reduced TNFα production was demonstrated in HEK293 cells transfected with TLR3-L412F plasmid and stimulated with specific agonist poly(I:C). A statistically significant reduced survival at 28 days was shown in L412F COVID-19 patients treated with the autophagy-inhibitor hydroxychloroquine (P=0.038). An increased frequency of autoimmune disorders as co-morbidity was found in L412F COVID-19 males with specific class II HLA haplotypes prone to autoantigen presentation. Our analyses indicate that L412F polymorphism makes males at risk of severe COVID-19 and provides a rationale for reinterpreting clinical trials considering autophagy pathways.

scholarly journals Aviation medicine capacity on facing biological threat In Indonesia airports

2020 ◽  
Author(s):  
Yuli Subiakto
Keyword(s):  
Infectious Diseases ◽  
National Security ◽  
Air Force ◽  
Medical Personnel ◽  
Air Transportation ◽  
Biological Agents ◽  
Biological Warfare ◽  
National Defense ◽  
Climate Conditions ◽  
Port Health

Airports need high security procedures, especially for preventing outbreaks of infectious diseases spread by passenger and carried goods. Outbreaks of disease form real threat to national defense that can endanger national sovereignty, territorial integrity and national security. Biological agents that are dangerous sources of outbreaks infectious diseases can be spread by criminal and terrorists for biological warfare. Based on data, the spread of diseases in Indonesia came from abroad, such as SARS from China, Mers-CoV from the Middle East, Avian Influenza from China, HIV from Africa etc. Indonesia has a population of more than 262 million peoples, 17,500 islands, and climate conditions that allow microorganisms to grow well. In 2017 domestic flights transported 95,401,545 persons and international flights 16,253,259 persons, we need to prevent the spread of diseases in Indonesia entering through the Airports. Efforts to prevent the entry of dangerous biological agents in Indonesia were carried out by Quarantine Officers and Port Health Officers. The development of threat outbreak disease in air transportation is real in the future, so all Indonesia airports must have action plans to prevent the spread of infectious diseases. The Air Force must act as guardian of sovereignty by having medical personnel on the spot for role interoperability with the personnel Port Health Office for prevent the entry of dangerous biological agents. Capacity building need for be enhanced for prevention, detection, identification and response through a training of the personnel, procurement facilities for readiness prevent, detect and respond when facing biological threat

scholarly journals The use of Personal Protective Equipment in Hazmat Incidents

2002 ◽  
Vol 9 (3) ◽  
pp. 171-176 ◽  
Author(s):  
RSD Yeung ◽  
JTS Chan ◽  
LLY Lee ◽  
YL Chan
Keyword(s):  
At Risk ◽  
Personal Protective Equipment ◽  
Hazardous Materials ◽  
Medical Personnel ◽  
Single Type ◽  
Protective Equipment ◽  
Dermal Contact ◽  
Adequate Level ◽  
Toxic Materials ◽  
The One

Medical personnel are at risk when handling victims of Hazmat incidents. Special clothing and respiratory equipment are required to protect them from absorbing these toxic materials through inhalation or through dermal contact. Personal Protective Equipment (PPE) refer to both clothing and equipment used to shield or isolate individuals from chemical, physical and biological hazards that may be encountered at a hazardous materials incident.1,2 No single type of PPE can protect all hazards and incorrect use can cause harm to the wearer. In general, the greater the protection, the greater the associated risks.2 Therefore, the level of PPE selected should be the one that can provide adequate level of protection.

The formation of the sanitary service in the Voronezh region in the XVIII–XIX centuries

2021 ◽  
pp. 72-80
Author(s):  
Lyudmila Evgenievna Mekhantieva ◽  
Mariya Yurievna Leshcheva ◽  
Nataliya Vadimovna Gabbasova
Keyword(s):  
Infectious Diseases ◽  
19Th Century ◽  
18Th Century ◽  
Medical Personnel ◽  
Smallpox Vaccination ◽  
Medical Institutions ◽  
Voronezh Region ◽  
History Of ◽  
State Archives ◽  
The 19Th Century

The aim of the work was to study the history of the formation of the sanitary service in the Voronezh region in the XVIII–XIX centuries. The material of the research was archival materials of the State Archives of the Voronezh Region, the Voronezh Regional Universal Scientific Library named after I.S. Nikitin. The article presents the main historical stages in the development of the sanitary and epidemiological service of the period of the 18th — 19th centuries. Brief information about the first doctors on the territory of the Voronezh province, the raging epidemics of scurvy, typhus, and plague is presented. The most terrible disease that the population of the Voronezh province faced in the first quarter of the 18th century was the plague. Anti-epidemic measures to combat the plague included the establishment of strong outposts and quarantines on the roads, the burning of houses with belongings, horses and cattle, the delay of couriers and the reception of letters through fire with their three times rewriting, the death penalty if the above measures were violated. In the 18th century, the first hospital for the civilian population was opened in the Voronezh region. Medical institutions were poor, poorly equipped, there was an acute shortage of personnel and medical supplies. In 1797, medical boards were organized in the provincial cities, consisting of an inspector, an obstetrician and an operator. The general supervision of hospitals, keeping records of infectious diseases, monitoring the quality of food, conducting forensic medical examinations, and examining patients was entrusted to the council. In the 19th century, cholera became widespread among the population. To prevent the incidence of smallpox, vaccination of the population was carried out since 1802. At the beginning of the 19th century, the replenishment of medical personnel in the Voronezh province was due to midwives. The situation with medical personnel changed only towards the end of the 19th century. The end of the century is characterized by a significant increase in socially significant infectious diseases, especially tuberculosis, syphilis.

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