scholarly journals Practical Recommendations for the Preoperative Screening and Protective Protocols in Cancer Surgeries During COVID-19: A Systematic Review

2021 ◽  
Vol 8 ◽  
Author(s):  
Sara Dorri ◽  
Fateme Sari ◽  
Seyedeh Nahid Seyedhasani ◽  
Alireza Atashi ◽  
Esmatalsadat Hashemi ◽  
...  
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Cancer Progression ◽  
Surgical Care ◽  
Preoperative Screening ◽  
Elective Surgical Procedures ◽  
Single Room ◽  
Care Workers ◽  
Surgical Masks ◽  
History Of

Introduction: The new coronavirus (COVID-19) has posed many new challenges to the health care and the timing of surgical care. At the beginning of the pandemic many guidelines recommended postponing elective surgical procedures to reallocate resources. As regards, delay in cancer treatment could be effective on cancer progression. The aim of this systematic review was to outline a guideline for preoperative screening before cancer surgeries and protecting health care workers during the pandemic.Materials and Methods: This study was conducted through a search in electronic databases up to August 2020. PubMed, EMBASE, Web of Science, Scopus, Science Direct, and Google Scholar databases were searched without time limitation. The keywords were a combination of preoperative, cancer surgery, COVID-19, and their synonyms.Results: The most commonly used ways to triage preoperatively were telephone pre-assessment for suspicious symptoms and history of contact or travel, 14-day self-isolation, in- hospital queries at admission, temperature monitoring, and isolation in a single room COVID-free ward or physical distancing. Reverse transcription-polymerase chain reaction (RT-PCR) test 24–72 h before operation was recommended commonly, except in inaccessible centers, but non-contrast chest-CT scan is not routinely advised for elective surgeries to salvage medical resources. Recommended personal protective equipment (PPE) for staffs were wearing N95 mask in addition to gown, gloves, eye protection in aerosol-generating procedures (AGPs), and wearing gloves, hats, and disposable surgical masks, practice distancing, and hand hygiene for all staffs. Meanwhile team separation of hospital staffs caring for COVID-19 patients, segregated areas for COVID-19 clean and contact, restriction of visitors and family members, and personal distancing are mostly recommended.Conclusion: We hope this review would be a guidance for triage, preoperative testing, and summarizing safety principles during COVID-19 pandemic alongside with surgical reintegration.

Stepping up detection, response, preparedness and readiness measures for “COVID-19”- A Pandemic

2020 ◽  
Vol 11 (SPL1) ◽  
pp. 1042-1047
Author(s):  
Khushbu Balsara ◽  
Deepankar Shukla
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Clinical History ◽  
Frontline Workers ◽  
Diagnostic Assays ◽  
Care Workers ◽  
Short Period ◽  
History Of ◽  
Detection Response ◽  
Care Worker

In a very short period of time, “COVID-19” has seized the consciousness globally by making remarkable changes in our day to day living and has superintended as a public health emergency globally. It has high radar of transmission, affecting an individual at work to frontline workers. The measures and planning for a response plays a key role from drawing up an emergency committee and this follows an equation which broadly deals with epidemiological to clinical history of the patient, management steps from isolation, screening, diagnostic assays for identification and treatment. The application of an organized plan with secure structure aids in better performance, increases efficacy of management and saves time. Also saves time for a health care worker to g through routine levels of channels of administration if already a familiar way of operation is known for such situations. Thus, planning and developing a ‘blueprint of approach’ towards management of patient while facing such situation is a must. This review provides an insight to the measures for detection, response and preparedness of the hospital and health care workers should largely be inclusive of; also highlights the measures to be taken at every step after coming in contact with a positive case of “COVID-19”.

scholarly journals A Systematic Review and Provisional Metanalysis on Psychopathologic Burden on Health Care Workers of Coronavirus Outbreaks

2020 ◽  
Vol 11 ◽  
Author(s):  
Federica Galli ◽  
Gino Pozzi ◽  
Fabiana Ruggiero ◽  
Francesca Mameli ◽  
Marco Cavicchioli ◽  
...  
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Health Care Workers ◽  
Care Workers

scholarly journals Noninvasive ventilation masks with viral filters to protect health care workers from SARS-CoV-2 / Coronavirus infections

2020 ◽  
Author(s):  
Dominic Dellweg ◽  
Peter Haidl ◽  
Jens Kerl ◽  
Dieter Koehler
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Test Chamber ◽  
Rubber Band ◽  
Protection Measure ◽  
Non Invasive ◽  
Non Invasive Ventilation ◽  
Care Workers ◽  
Surgical Masks ◽  
N95 Respirators

Abstract Background:There is a shortage of masks and respirators for the protection of health care professionals during the current SARS-CoV-2 / Coronavirus pandemic. Masks for non-invasive ventilation (NIV) in combination with viral-proof filters could serve as an alternative protection measure. We wanted to determine the aerosol filtering efficacies of such devices in comparison to conventional surgical masks, N95 and FFP3 respirators.Method:Masks and respirators were mounted on a ventilated mannequin head in a test-chamber. Absorption of radioactive particles was measured compared to a non-filtered reference port.Results: Filter efficacies were 93.3 ± 1.5 % for a ResMed AcuCare NIV-mask plus filter, 71.2 ± 0.2 % for a ResMed Mirage Quattro FX NIV-mask plus filter, 89.4 ± 0.9 % for a Loewenstein JOYCEclinc FF NIV-mask plus filter, 48.4 ± 4 % for a surgical mask with rubber band, 60.5 ± 9.1 % for a surgical mask with ribbons, 56.9 ± 7.5 % for a FFP3 respirator, 64.5 % ± 5.1 for a N95 respirator. The ResMed AcuCare and the Loewenstein JOYCEclinic FF mask were more effective than any other of the tested devices (p < 0.001 and p = 0.001 respectively)Conclusion:NIV masks with viral-proof filters effectively filter respirable particles. Two tested NIV masks were more effective than the tested FFP3 and N95 respirators.

scholarly journals Secondary Attack Rate of COVID-19 in Non-Household Contacts - A Systematic Review of Global Studies

2020 ◽  
Vol 52 (04) ◽  
pp. 97-107
Author(s):  
Komal Shah ◽  
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Attack Rate ◽  
Global Studies ◽  
Household Contacts ◽  
Care Workers ◽  
Prolonged Contact ◽  
Data Gaps ◽  
Casual Contact ◽  
Close Family

Objective: Secondary Attack Rate (SAR) of COVID-19 varies across various populations. We aim to assess global articles reporting SAR in non-household contacts of COVID-19 patients through systematic review approach. Methods: Four databases - MEDLINE, SCOPUS, Google Scholar and EMBASE were systematically searched for retrieval of articles reporting SAR of COVID-19 in various contacts. Initial search provided 436 articles, which through series of evaluation finally yielded 14 articles. Result: Findings suggested that SAR in various contacts varies widely. Substantial number of studies (50%) were from China; however, the two largest studies were from India. Irrespective of type of contacts, overall SAR ranged from 0.55-6%. Highest risk was found from non-household close (family, friends) contacts (2.2-22.31%) followed by casual contact (travel, meal and health-care contacts). In spite of prolonged contact with the patients, SAR was lowest in health-care workers (0-7.3%). Review highlighted that the included studies were suffering from limitations of missing data and continuously evolving operational guidelines. Conclusion: The review showed that studies furnishing SAR data in non-household contacts are limited in number and exact mode of transmission is yet not clear. Six-percent of overall SAR indicates that though the disease is infectious in nature and proper precautions must be taken, not everybody that comes in contact with the index case is infected. However, with greater risk in non-household close contacts, it is important to identify vulnerable population and implement effective preventive strategies in them. Review also indicated serious data gaps in the published literature and stipulated need of more global studies.

scholarly journals Perceptions on Diet and Dietary Modifications during Postpartum Period Aiming at Attenuating Progression of GDM to DM: A Qualitative Study of Mothers and Health Care Workers

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Thamudi D. Sundarapperuma ◽  
Champa J. Wijesinghe ◽  
Priyadarshika Hettiarachchi ◽  
Sudharshani Wasalathanthri
Keyword(s):  
Diabetes Mellitus ◽  
Health Care ◽  
Health Care Workers ◽  
Postpartum Period ◽  
Food Habits ◽  
Later Life ◽  
Dietary Recommendations ◽  
Financial Barriers ◽  
Care Workers ◽  
History Of

Background. Gestational diabetes mellitus (GDM) is a global concern. GDM mothers have a 7-fold relative risk of developing type 2 diabetes mellitus (T2DM) in their later life. User-friendly and culturally acceptable dietary interventions can minimize this risk. Therefore, this study aims at exploring the perceptions of GDM mothers and health care workers regarding factors that influence postpartum dietary practices aimed at attenuating the trajectory from GDM to DM. Methods. The study was conducted in selected MOH areas in three districts of Sri Lanka. Six focus group discussions were conducted with thirty mothers with a history of GDM and six in-depth interviews with six health care workers. The phenomenon of interest was to obtain inputs of two stakeholder groups on healthy food habits of GDM mothers during the postpartum period. Framework analysis was used to analyse the data. Data were coded using the analytical framework, abstracted from transcripts, and summarized verbatim in Microsoft Excel in a matrix comprised of one row per participant and one column per code. Finally, the matrix was reviewed intensely and themes were generated. Results. Overall, seven themes emerged from both cases: (1) myths and traditions specific to the postpartum period, (2) lack of motivation, (3) time pressure, (4) financial barriers, (5) negligence of mothers and families, (6) lack of awareness regarding GDM and its postpartum dietary recommendations, and (7) cultural barriers. Conclusions. This study provides an insight into the existing knowledge, common practices, and attitudes regarding food habits among postpartum mothers with a history of GDM. Since the postpartum period is unique, identifying barriers is crucial when introducing dietary modification protocols in order to prevent or attenuate the progression of GDM to T2DM in these mothers. The knowledge gained will be used to introduce feasible, scientifically sound, and culturally acceptable postpartum dietary recommendations for GDM mothers.

Prevalence and causes of unreported needle stick injuries among health care workers: a systematic review and meta-analysis

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Razieh Behzadmehr ◽  
Abbas Balouchi ◽  
Mehran Hesaraki ◽  
Farshid Alazmani Noodeh ◽  
Hosein Rafiemanesh ◽  
...  
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Health Care Workers ◽  
Health Workers ◽  
Meta Analysis ◽  
Random Effect ◽  
Random Effect Model ◽  
Needle Stick ◽  
Care Workers ◽  
Needle Stick Injuries

Abstract Objectives Health care workers (HCWs) are exposed to needle needles daily. Despite individual studies, there is no statistics on the prevalence of unreported needle stick injuries (NSIs) have been reported. This study was performed to determine the prevalence and causes of unreported NSIs among HCWs. Content In present systematic review and meta-analysis study, three international databases (Web of Science, Scopus, PubMed) were searched from January 1, 2000 to December 31, 2018. The random model was used to determine the prevalence of unreported needle stick among HCWs. Summary and outlook Forty-one studies performed on 19,635 health care workers entered the final stage. Based-on random effect model, pooled prevalence of unreported needle stick injuries was 59.9% (95% CI: 52.0, 67.7; I2=98.9%). The most common cause of unreported NSIs was: They were not worried about NSIs (n=12). The high prevalence of unreported needle sticks injuries indicates the urgency and necessity of paying attention to strategies to improve reporting among health workers.

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