scholarly journals Bronchoscopy during the COVID-19 pandemic: A survey study

2021 ◽  
Vol 29 (2) ◽  
pp. 183-190
Author(s):  
Benan Çağlayan ◽  
Ferhan Karataş ◽  
Sinem İliaz ◽  
Işıl Uzel ◽  
Ayşe Bilge Öztürk ◽  
...  

Background: In this study, we aimed to evaluate the attitudes and behaviors of physicians performing bronchoscopy during the COVID-19 outbreak. Methods: Between March 2020 and May 2020, a total of 153 physicians were included in the study. An invitation letter for the participation in the study with a structured questionnaire of 18 questions were sent to the mail groups twice with five-day intervals. Participation in the study was allowed, until the third day after the second mail was sent. Results: All participants completed the questionnaire. According to the results, 33% of the physicians did not perform bronchoscopy and the majority of the physicians performed very few procedures during the outbreak, although the participants mostly worked at the tertiary hospitals (mean: 7.2±9.3). A total of 20% of the physicians performed bronchoscopy in potential or proven COVID-19 patients. Almost all of the physicians who participated in the survey reported the use of personal protective equipment such as masks and goggles during the procedure. During the pandemic, 9.7% of the physicians who performed bronchoscopy to potential or proven COVID-19 patients and 4.1% of the participants who did not perform bronchoscopy to any potential or proven COVID-19 patients were found to be infected with the virus (p>0.05). Conclusion: Physicians who perform bronchoscopy during pandemic act in accordance with the recommendations of guidelines. Although there was no statistically significant difference between the SARS-CoV-2 transmission rates of the teams who performed and did not perform bronchoscopy in potential or proven COVID-19 patients in our study, the high rate of personal protective equipment utilization might have played a role in this result.

Author(s):  
Taito Kitano ◽  
Pierre-Philippe Piché-Renaud ◽  
Helen E Groves ◽  
Laurie Streitenberger ◽  
Renee Freeman ◽  
...  

Abstract Visitor restriction policies in pediatric wards during the novel coronavirus (COVID-19) outbreak are variable. Among 36 hospitals that responded to our survey, 97% allowed at least 1 visitor, with 67% restricting to 1 caregiver. Sixty-nine percent required the visitor to wear personal protective equipment and only 19% allowed non-household visitors.


2021 ◽  
Vol 25 (01) ◽  
pp. e150-e159
Author(s):  
Rui Imamura ◽  
Ricardo F. Bento ◽  
Leandro L. Matos ◽  
William N. William ◽  
Gustavo N. Marta ◽  
...  

Abstract Background With the COVID-19 pandemic, the clinical practice of physicians who work in the head and neck field in Brazil dropped dramatically. The sustained impact of the pandemic is not known. Methods An anonymous online survey was distributed to Brazilian otolaryngologists, head and neck surgeons, medical and radiation oncologists, asking about their clinical practice in the third to fourth months of the pandemic. Results The survey was completed by 446 specialists. About 40% reported reduction of more than 75% in outpatient care. A reduction of 90% to 100% in airway endoscopies was reported by 50% of the responders, and the same rate of reduction regarding surgeries (pediatric or nasosinusal) was reported by 80% of them. Family income decreased by 50%, and the psychological burden on physicians was considerable. The availability of personal protective equipment and safety precautions were limited, especially in the public sector. Conclusion COVID-19 is still impacting the head and neck field, and safety concerns may hinder the prompt resumption of elective care.


2018 ◽  
Vol 16 (2) ◽  
pp. 156-159
Author(s):  
Anup Ghimire ◽  
Shyam Sundar Budhathoki ◽  
Surya Raj Niraula ◽  
Abha Shrestha ◽  
Paras K Pokharel

Background: Injuries are a problem worldwide in all occupations. Welders are exposed to many hazards at work resulting in a variety of health problems including injuries at work. This study was conducted to find out the prevalence and factors associated with injuries among welders in Dharan city of eastern Nepal.Methods: A cross sectional study was conducted among 86 welders in Dharan city. Occurrence of injury in past 2 weeks and past 12 months were recorded. Data regarding sociodemographic along with occupational characteristics was collected using semi structured questionnaire. Data analysis was done using SPSS version 17.Results: All the welders in this study were male with almost half of the welders under the age of 25 years and about a fifth (21.1%) of the welders having received some form of welding training. In the past 12 months, 21.1% of the welders suffered from work related injuries. More than 95% welders used at least one personal protective equipment in this study. More injuries were seen among welders with age ≥35 years, working experience ≥ 5 years, not received training and not using of PPE at work. However, these factors were not found to be statistically significant.Conclusions: Work related injuries are high among welders of Dharan. Further research is required to explore the relationship between age, literacy, training and use of personal protective equipment with the occurrence of injuries among the welders.


2021 ◽  
Author(s):  
Wondimu Sema ◽  
Muluken Tessema

Abstract BackgroundPersonal protective equipment is designed to protect workers from serious workplace injuries or illnesses resulting from contact with chemical, radiological, physical, electrical, mechanical, or other workplace hazards. ObjectiveTo determine Personal Protective Equipment utilization and its associated factor based on health belief model among large scale factory workers in Debre-Birhan, Ethiopia. MethodsAn institution-based cross-sectional study was employed in Debre Berhan Town, North Shoa Ethiopia from April 1 st to May 1 st , 2021 using an interviewer administered structured questionnaires. A total of 412 samples were selected by systematic random sampling method. The data was entered by Epi-data version 3.1 and analyzed by SPSS. variables with a p-value of 0.2 was fitted for multiple logistic regressions and a p-value of <0.05 was statistically significant. ResultA total of 412 workers were participated in the study with a 100% response rate. The mean age was 29 (±7.3) years. Most workers 367 (89 %) knew that PPE can prevent work related injury and illness. Over all 172 (41.7 %) of the workers were considered to have good PPE utilization. Perceived susceptibility [AOR=1.2, 95 %, CI (1.076-1.38)], perceived severity, [AOR=1.1, 95 %, CI (1.088-1.163)], perceived self-efficacy, [AOR=1.2, 95 %, CI (1.082-1.349)], and Perceived barrier [AOR=0.87, 95 %, CI (0.800 -0.956)] were found to be significant predictors of good PPE utilization. ConclusionThe study revealed that good Personal protective equipment utilization in large scale factory workers. Perceived susceptibility perceived severity, perceived barrier and perceived self-efficacy were found to be predictors of PPE utilization.


2020 ◽  
Vol 35 (4) ◽  
pp. 364-371 ◽  
Author(s):  
Richard J. Salway ◽  
Trenika Williams ◽  
Camilo Londono ◽  
Patricia Roblin ◽  
Kristi Koenig ◽  
...  

AbstractIntroduction:Physicians’ management of hazardous material (HAZMAT) incidents requires personal protective equipment (PPE) utilization to ensure the safety of victims, facilities, and providers; therefore, providing effective and accessible training in its use is crucial. While an emphasis has been placed on the importance of PPE, there is debate about the most effective training methods. Circumstances may not allow for a traditional in-person demonstration; an accessible video training may provide a useful alternative.Hypothesis:Video training of Emergency Medicine (EM) residents in the donning and doffing of Level C PPE is more effective than in-person training.Null Hypothesis:Video training of EM residents in the donning and doffing of Level C PPE is equally effective compared with in-person training.Methods:A randomized, controlled pilot trial was performed with 20 EM residents as part of their annual Emergency Preparedness training. Residents were divided into four groups, with Group 1 and Group 2 viewing a demonstration video developed by the Emergency Preparedness Team (EPT) and Group 3 and Group 4 receiving the standard in-person demonstration training by an EPT member. The groups then separately performed a donning and doffing simulation while blinded evaluators assessed critical tasks utilizing a prepared evaluation tool. At the drill’s conclusion, all participants also completed a self-evaluation survey about their subjective interpretations of their respective trainings.Results:Both video and in-person training modalities showed significant overall improvement in participants’ confidence in doffing and donning PPE equipment (P <.05). However, no statistically significant difference was found in the number of failed critical tasks in donning or doffing between the training modalities (P >.05). Based on these results, the null hypothesis cannot be rejected. However, these results were limited by the small sample size and the study was not sufficiently powered to show a difference between training modalities.Conclusion:In this pilot study, video and in-person training were equally effective in training for donning and doffing Level C PPE, with similar error rates in both modalities. Further research into this subject with an appropriately powered study is warranted to determine whether this equivalence persists using a larger sample size.


2018 ◽  
Vol 23 (3) ◽  
pp. 73-79 ◽  
Author(s):  
Camila Gonçalves Jezini Monteiro ◽  
Mariana Martins e Martins ◽  
Adriana de Alcantara Cury-Saramago ◽  
Henry Pinheiro Teixeira

ABSTRACT Objective: This cross-sectional observational study was designed to assess the biosafety conducts adopted by orthodontists, and possible differences regarding training time. Methods: Both the application of methods for sterilization/disinfection of instruments and materials, and the use of personal protective equipment (PPE) were collected through questionnaires via e-mail. Results: The questionnaires were answered by 90 orthodontists with a mean age of 37.19 ± 9.08 years and mean training time of 13.52 ± 6.84 years. Regarding orthodontic pliers, 63.23% use an autoclave, except 1 who does not perform any procedure. All participants use autoclave to sterilize instruments, and 95.6% of respondents perform cleaning with chemicals prior to sterilization. Most of them (65.56%) use an autoclave to sterilize orthodontic bands, with some still associating disinfection methods, while few (18.89%) do nothing at all. There was a high incidence of the answer “nothing” for the methods used for elastic, accessories, bandages, metal springs, and arches. All respondents use mask and gloves in attendance, 78.92% use aprons, 58.92% use protective goggles, and 50.01% use cap. Training time significantly influenced (p = 0.003) only the use of glutaraldehyde for sterilization/disinfection of pliers. Conclusions: The sterilization and cleaning of pliers, instruments, and bands, besides the use of PPE, received more uniform and positive responses, while other items suggest disagreements and possible failures. Only orthodontists trained for more than 13 years choose using glutaraldehyde for pliers sterilization/disinfection, the only adopted method with a significant difference in relation to training time.


2020 ◽  
Vol 31 (2) ◽  
pp. 69-75
Author(s):  
Md Rezaul Karim ◽  
Sushil Kumar Sah ◽  
Afsarunnesa Syeda ◽  
Muhammad Tanvir Faysol ◽  
Aminur Rahman ◽  
...  

Objective: This study conducted to implement protective measures in healthcare settings during theCOVID-19 pandemic in the context of Bangladesh. Methods: It is an observational survey study. A pre-designed open questionnaire electronic linkusing google form was used to collect data from 500 healthcare workers within Bangladesh in whichparticipants were observed, and variables were measured. Results: The study findings revealed that among all participants, 70.9% were working in COVID-19dedicated hospitals, and 1.8% were diagnosed with COVID-19 while working. The study showed that69.1% of participants washed hands before and after consulting/handling each patient, 69.1% hadreadily available rubs/sanitizer in their healthcare facility, and 65.5% adhered principals ofhandwashing. The study also revealed that only 76.4% of participants maintained aseptic precautionsfor donning/doffing. Conclusion: The study findings recommend that mandatory training and maintaining asepticprecautions for PPE putting on (donning), and removal (doffing) is equally important. Bangladesh J Medicine July 2020; 31(2) :69-75


Author(s):  
Jongtak Jung ◽  
Kyoung-Ho Song ◽  
Hyeonju Jeong ◽  
Sin Young Ham ◽  
Eu Suk Kim ◽  
...  

Abstract Objectives Few studies have investigated the contamination of personal protective equipment (PPE) during the management of patients with severe-to-critical coronavirus disease (COVID-19). This study aimed to determine the necessity of coveralls and foot covers for body protection during the management of COVID-19 patients. Methods PPE samples were collected from the coveralls of physicians exiting a room after the management of a patient with severe-to-critical COVID-19 within 14 days after the patient’s symptom onset. The surface of coveralls was categorized into coverall-only parts (frontal surface of the head, anterior neck, dorsal surface of the foot cover, and back and hip) and gown-covered parts (the anterior side of the forearm and the abdomen). Sampling of the high-contact surfaces in the patient’s environment was performed. We attempted to identify significant differences in contamination with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) between the coverall-only and gown-covered parts. Results A total of 105 swabs from PPEs and 28 swabs from patient rooms were collected. Of the PPE swabs, only three (2.8%) swabs from the gown-covered parts were contaminated with SARS-CoV-2. However, 23 of the 28 sites (82.1%) from patient rooms were contaminated. There was a significant difference in the contamination of PPE between the coverall-only and gown-covered parts (0.0 vs 10.0%, p = 0.022). Conclusions Coverall contamination rarely occurred while managing severe-to-critical COVID-19 patients housed in negative pressure rooms in the early stages of the illness. Long-sleeved gowns may be used in the management of COVID-19 patients.


2019 ◽  
Vol 1 (1) ◽  
Author(s):  
Indah Wahyuni ◽  
Nur Hidayat

ABSTRACTThis study is aimed to determine: (1) the use of posters as a medium of learning at the workshop of Education Department of Civil Engineering and Planning FT UNY, (2) requirements in making posters as instructional media, and (3) Correspondence between poster as a learning media with the workshop at Department of Education of Civil Engineering and Planning FT UNY. This study Applies a descriptive approach (descriptive research). In this study, the researchers did not provide any treatment to what is observed however only describes in detail merely to what was found in the data collection. The findings of this study are (1) poster has been used as a medium of learning both in carpentry, plumbing workshop, and rock workshop. Poster is used to convey information such as personal protective equipment, work step, parts of an instrument, learning products, and K3 (2) the factors of the preconditions if poster at carpentry and rock workshop have been fulfilled. However the preconditions the form of size and color of poster at the plumbing workshop still need to be resized. In addition, the suitability factors such as ease of posters indicators in order to be easily seen in carpentry and plumbing workshop also need to be resized. Other indicators contained in preconditions factors such as expediency and suitability in the third workshop have been fulfilled. (3) The compliance of poster in carpentry, plumbing workshop, and rock workshop at the Education Department of Civil Engineering and Planning FT UNY is good. Posters are suitable to the function and purpose of each workshop. They only need resizing and repositioning. Keywords: instructional media, posters, workshop  ABSTRAKPenelitian ini bertujuan untuk mengetahui: (1) penggunaan poster sebagai media pembelajaran di bengkel Jurusan Pendidikan Teknik Sipil dan Perencanaan FT UNY (2) persyaratan dalam pembuatan poster sebagai media pembelajaran (3) Kesesuaian antara media pembelajaran poster dengan bengkel di Jurusan Pendidikan Teknik Sipil dan Perencanaan FT UNY. Penelitian ini menggunaan pendekatan deskriptif (descriptive reasearch). Dalam penelitian ini, peneliti tidak memberikan perlakuan terhadap apa yang diteliti tetapi hanya sebatas mendeskripsikan secara detail terhadap apa yang ditemukan dalam pengambilan data. Hasil penelitian ini adalah (1) Poster telah dimanfaatkan sebagai media pembelajaran baik di bengkel kayu, bengkel plambing, maupun bengkel batu. Poster digunakan untuk menyampaikan informasi alat pelindung diri, langkah kerja, bagian-bagian dari suatu alat, produk pembelajaran, maupun K3 (2) Faktor prasyarat poster di bengkel kayu dan bengkel batu sudah terpenuhi. Hanya saja untuk prasyarat berupa indikator ukuran dan warna poster di bengkel plambing masih perlu ditingkatkan. Selain itu, faktor kesesuaian berupa indikator kemudahan poster untuk terlihat di bengkel kayu dan plambing juga perlu ditingkatkan. Indikator lain yang terdapat pada faktor prasyarat, kemanfaatan, dan kesesuaian di ketiga bengkel tersebut sudah terpenuhi (3) Kesesuaian poster di bengkel kayu, bengkel plambing, dan bengkel batu di Jurusan Pendidikan Teknik Sipil dan Perencanaan FT UNY sudah baik. Poster sudah sesuai dengan fungsi dan maksud masing-masing bengkel. Hanya saja perlu adanya pembenahan dalam penempatan poster.Kata kunci: media pembelajaran, poster, bengkel


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