scholarly journals Mapping Biological Risks Related to Necropsy Activities: Old Concerns and Novel Issues for the Safety of Health Professionals

Author(s):  
Paola Tomao ◽  
Raffaele La Russa ◽  
Alessandra Oliva ◽  
Massimiliano De Angelis ◽  
Antonella Mansi ◽  
...  

Nowadays only a few studies on biological and environmental risk among healthcare workers are available in literature. The present study aims to assess the health operator’s risk of contact with microorganisms during necropsy activities, to evaluate the efficiency of current protections, to identify possible new sources of contact, and to point out possible preventive measures. In addition, considering the current pandemic scenario, the risk of transmission of SARS-CoV-2 infection in the dissection room is assessed. The objectives were pursued through two distinct monitoring campaigns carried out in different periods through sampling performed both on the corpses and at the environmental level.

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Werku Etafa ◽  
Gosa Gadisa ◽  
Shibiru Jabessa ◽  
Tagay Takele

Abstract Background Globally, Coronavirus disease-19 has created unprecedented challenges to public health. Healthcare workers (HCWs) are at risk of COVID-19 because of their profession. There are limited studies conducted in Ethiopia among HCWs regarding their compliance with COVID-19 preventive measures. Therefore, this study intended to assess HCWs’ compliance with measures to prevent COVID-19, and its potential determinants in public hospitals in Western Ethiopia. Methods A self-administered, multicenter hospital-based cross-sectional survey was proposed to 422 randomly selected HCWs working in seven public hospitals in Western Ethiopia identified as COVID-19 referral centers. Data were entered into Epi Data version 3.1 and analyzed using SPSS version 24. Binary logistic regression was used to identify potential determinants of outcome variables at p-value < 0.05. Results Out of 422 completed questionnaires, the overall HCWs’ compliance with COVID-19 prevention is 22% (n = 404). In multivariate regression analysis, factors such as spending most of caring time at bedside (AOR = 1.94, 95%CI, 1.06–3.55), receiving training on infection prevention/COVID-19 (AOR = 1.86, 95%CI, 1.04–3.33), reading materials on COVID-19 (AOR = 2.04, 95%CI, 1.14–3.63) and having support from hospital management (AOR = 2.09, 95%CI, 1.20–3.64) were found to be significantly associated with COVID-19 preventive measures. Furthermore, inadequate supplies of appropriate personal protective equipment (83.2%), insufficient supportive medications (78.5%), and lack of provision of adequate ventilation (77.7%) were the barriers to COVID-19 prevention most frequently mentioned by participants. Conclusion Our findings highlight HCWs’ poor compliance with COVID-19 preventive measures. Providing information and refreshing training to improve the level of healthcare workers’ adherence with COVID-19 prevention is as imperative as increasing staff commitment to supply resources necessary to protect HCWs and to reduce healthcare-associated infections transmission of SARS-COV-2.


Author(s):  
Tuyen Dinh Hoang ◽  
Robert Colebunders ◽  
Joseph Nelson Siewe Fodjo ◽  
Nhan Phuc Thanh Nguyen ◽  
Trung Dinh Tran ◽  
...  

The COVID-19 pandemic and associated restrictive measures implemented may considerably affect people’s lives. This study aimed to assess the well-being of Vietnamese people after COVID-19 lockdown measures were lifted and life gradually returned to normal. An online survey was organized from 21 to 25 April 2020 among Vietnamese residents aged 18 and over. The survey was launched by the Hue University of Medicine and Pharmacy. The WHO-5 Well-Being Index (scored 0–25) was used to score participants’ well-being. A multivariate logistic regression model was used to determine the predictors of well-being. A total of 1922 responses were analyzed (mean age: 31 years; 30.5% male; 88.2% health professionals or students in the health sector). The mean well-being score was 17.35 ± 4.97. Determinants of a high well-being score (≥13) included older age, eating healthy food, practicing physical exercise, working from home, and adhering to the COVID-19 preventive measures. Female participants, persons worried about their relatives’ health, and smokers were more likely to have a low well-being score. In conclusion, after the lockdown measures were lifted, the Vietnamese have people continued to follow COVID-19 preventive measures, and most of them scored high on the well-being scale. Waiting to achieve large-scale COVID-19 vaccine coverage, promoting preventive COVID-19 measures remains important, together with strategies to guarantee the well-being of the Vietnamese people.


2021 ◽  
pp. postgradmedj-2021-140420
Author(s):  
Yandy Marx Castillo Aleman

BackgroundHealthcare workers often use terms such as Apgar, Babinski or Glasgow in their routine duties. These terms are used worldwide; they are universal and recognised in various languages. Medical eponyms are immutable by the nature; they save valuable time by streamlining communication among health professionals. However, some of these terms lack accuracy and lead to confusion.Objective and methodsThis perspective article aims to analyse the current status of the divergent trends about redeeming (or not) the long-standing tradition of using medical eponyms. Multiple positions regarding the use of these terms have been expressed in the medical literature, and these are summarised in the manuscript. Although, this compilation is based primarily on the author’s medical background and experience.ResultsThere is an interesting debate in the scientific community about the suitability of certain eponyms. Defenders and detractors argue a broad spectrum of points, but there is still no international consensus. The use of classical, ethical and well-recognised medical eponyms will remain a cornerstone in daily clinical settings, textbooks and medical journals. However, their use can be inconsistent or confused in specific conditions, and they can be influenced by local geography and culture.ConclusionsThere is a need to refrain from using unethical and controversial eponyms throughout the whole of science. Further academic and scientific efforts should be addressed to provide a structural systematisation, semantic classification and etymological categorisation on the use of medical eponyms.


2009 ◽  
Vol 14 (49) ◽  
Author(s):  
G La Torre ◽  
D Di Thiene ◽  
C Cadeddu ◽  
W Ricciardi ◽  
A Boccia

A survey on attitudes and behaviours towards preventive measures against pandemic H1N1 influenza 2009 was carried out during the month of October 2009 in Italy through an online questionnaire adapted to the Italian situation from a similar survey of the Harvard School of Public Health in the United States (US). Results show that the intention to get vaccinated against pandemic H1N1 influenza 2009 is generally low and that there are differences in attitudes and behaviours towards preventive measures against pandemic H1N1 influenza 2009 between physicians and nurses, especially concerning vaccination. Differences relate also to sex, region of residence and marital status.


Author(s):  
Dinh Binh Tran

Protecting healthcare workers (HCWs) is a top priority in COVID-19 pandemic at this time. HCWs who carry the pathogens will increase the risk of infecting their patients, their colleagues as well as the community. Therefore, HCWs must follow the guidance of preventive measures issued by the Ministry of Health to ensure safety, although that means they have to work under uncomfortable condition. That is the reason why the role of surveillance and assessment the risk of infection is extremely critical. Only with regular and continuous supervision, with instructions and reminders, can HCWs effectively prevent the COVID-19 infection, especially while being under intensity - work pressure of the current situation.


PEDIATRICS ◽  
1991 ◽  
Vol 87 (1) ◽  
pp. 70-73
Author(s):  
Phyllis Agran ◽  
Diane Winn ◽  
Dawn Castillo

In this study, a series of instances of children injured by a motor vehicle set in motion by an unsupervised child are reviewed. During a 24-month period, nine such children were identified through a multihospital and coroner's office monitoring system in a single urban county. Injuries ranged from multiple abrasions and contusions to serious leg and head injuries. Three children died. The typical circumstance involved a child releasing the brake or placing the vehicle in gear in a private driveway which resulted in the vehicle striking or rolling over the victim. In four of the nine cases, the child who set the vehicle in motion fell or jumped from the vehicle and then became the injured victim. The extent of these unusual motor vehicle-related injuries is unknown because they are unlikely to be reported in official police statistics. According to the study findings, there is a need to educate the public and health professionals about the risks associated with leaving a child unattended in a motor vehicle and the hazardous environment of the private driveway. Preventive measures would include not leaving a child unattended in a vehicle, locking unattended vehicles to prevent access, and redesigning of private driveways.


2020 ◽  
Vol 15 (10) ◽  
pp. 1-8
Author(s):  
Barbara M Murphy ◽  
Rosemary O Higgins ◽  
Alun C Jackson

The COVID-19 pandemic is taking a toll on the healthcare workforce across the world and, with many health professionals experiencing high levels of exposure to the coronavirus, the rate of infection among healthcare workers is high. Documented mental health effects on these workers are also concerning, with higher-than-usual levels of acute stress, post-traumatic stress symptoms, anxiety, depression and sleep disorders, particularly insomnia. Cardiac patients are particularly vulnerable, and health professionals caring for this group face additional stresses. This article provides an overview of the mental health impacts of the pandemic on healthcare workers, with an emphasis on those working in hospital settings and in cardiac care, as well as on the patients for whom they care. The specific impacts of COVID-19 are also discussed, as well as associated social restrictions on cardiac patients, both during hospitalisation and early recovery, and in terms of long-term risks. Strategies are proposed that healthcare workers can adopt to help preserve and improve their coping and enhance their resilience as they work through this unprecedented and unpredictable pandemic.


Vaccines ◽  
2020 ◽  
Vol 8 (3) ◽  
pp. 379
Author(s):  
Maria Teresa Montagna ◽  
Osvalda De Giglio ◽  
Christian Napoli ◽  
Fabrizio Fasano ◽  
Giusy Diella ◽  
...  

Starting from 2013, the number of unvaccinated people alarmingly increased in Italy; therefore, in 2017 a new Vaccine National Plan was approved. Healthcare workers (HCWs), especially public health professionals (PHPs, i.e., workers in in the sector of hygiene and preventive medicine), have an important role in informing and promoting vaccinations. In this context, the Italian Study Group of Hospital Hygiene of the Italian Society of Hygiene, Preventive Medicine and Public Health (GISIO-SItI) conducted a national survey to assess knowledge, attitude, and practices towards recommended vaccinations among PHPs. The survey was conducted during October 2019 with an anonymous questionnaire distributed to PHPs attending the 52° SItI National Congress. Overall, 57.1% of operators answered correctly to all seven recommended vaccinations, 12.8% reported to be vaccinated for all seven recommended vaccinations, while 30% were naturally immunized. A higher immunization coverage was reported for anti-hepatitis B (88.9%) and measles (86.1%), and 81.3% of the participants reported being offered the influenza vaccination during the 2018/2019 season. The majority of our sample indicated that hepatitis B (95%) and influenza (93.7%) were the recommended vaccines for HCWs, while less was known regarding varicella, pertussis, diphtheria, and tetanus boosters every 10 years. PHPs who were vaccinated (or who intended to be vaccinated) were more likely to recommend vaccinations to their patients and provided a reassuring example to those hesitant patients. Finally, this is the first study that identified good algorithms (using the techniques of machine learning as Random Forest and Deep Learning) to predict the knowledge of PHPs regarding recommended vaccinations with possible applications in other national and international contexts.


2010 ◽  
Vol 121-122 ◽  
pp. 1-4 ◽  
Author(s):  
Ji Hong Zhou ◽  
Bin Wang ◽  
Xiao Bin Zhou ◽  
Jian Zhang

At present, the environmental risk has become science foundation and one of important basis of the environmental risk management and environmental decision-making. This paper based on the chemical properties of carbon disulfide including physical and chemical properties, toxicity, explosive harms characteristics are studied and puts forward some preventive measures.


2010 ◽  
Vol 439-440 ◽  
pp. 113-116
Author(s):  
Ji Hong Zhou ◽  
Shu Kai Zhao

The risk assessment is a very important aspect in the process of plant construction and operation. The risk factors of Bio-technology Group, Handan Chenguang protein plant are analyzed in this paper. Meantime propose preventive measures and contingency plans. Thus offer technical assurance for the possible risk of the environment when the project launch smoothly .


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