1
|
Dabkowski M, Pruc M, Chirico F, Bragazzi NL, Szarpak L. Impact of pandemic on use of mechanical chest compression systems. Am J Emerg Med 2024; 77:227-228. [PMID: 38155032 DOI: 10.1016/j.ajem.2023.12.024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2023] [Accepted: 12/13/2023] [Indexed: 12/30/2023] Open
Affiliation(s)
| | - Michal Pruc
- Department of Public Health, International European University, Kyiv, Ukraine
| | - Francesco Chirico
- Post-Graduate School of Occupational Health, Università Cattolica del Sacro Cuore, Rome, Italy
| | - Nicola Luigi Bragazzi
- Department of Mathematics and Statistics, Laboratory for Industrial and Applied Mathematics (LIAM), York University, Toronto, Canada
| | - Lukasz Szarpak
- Department of Clinical Research and Development, LUXMED Group, Warsaw, Poland; Henry JN Taub Department of Emergency Medicine, Baylor College of Medicine, Houston, TX, USA.
| |
Collapse
|
2
|
Magnavita N, Larese Filon F, Giorgi G, Meraglia I, Chirico F. Assessing Workplace Violence: Methodological Considerations. Med Lav 2024; 115:e2024003. [PMID: 38411977 PMCID: PMC10915676 DOI: 10.23749/mdl.v115i1.15186] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 09/06/2023] [Accepted: 11/21/2023] [Indexed: 02/28/2024]
Abstract
The risk of violence is present in all workplaces. It must be accurately assessed to establish prevention and protection measures tailored to the features of each situation. The risk management process requires compliance in a sequential order: 1) risk identification, 2) quantitative risk assessment, and 3) impact assessment. Gathering workers' experiences using lists, focus groups, or participatory ergonomics groups is necessary to identify the phenomenon. For risk assessment, spontaneous reporting of events is often insufficient. It may be complemented with two methods: systematic recording of violent events that occurred in the past year during periodic medical examinations of workers and targeted surveys. The epidemiological analysis of data from individual interviews and surveys provides the phenomenon's prevalence, incidence, and evolution. Moreover, reporting the harm suffered by victims of violence allows constructing impact matrices to allocate resources where they are most needed.
Collapse
Affiliation(s)
- Nicola Magnavita
- Department of Life Sciences and Public Health, Univeristà Cattolica del Sacro Cuore, Rome, Italy
- Occupational Health Unit, Department of Woman, Child and Public Health Sciences, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy
| | | | - Gabriele Giorgi
- Department of Human Sciences, European University of Rome, Rome, Italy
| | - Igor Meraglia
- Department of Life Sciences and Public Health, Univeristà Cattolica del Sacro Cuore, Rome, Italy
| | - Francesco Chirico
- Health Service Department, Italian State Police, Ministry of the Interior, Milan, Italy
| |
Collapse
|
3
|
Fialek B, De Roquetaillade C, Pruc M, Navolokina A, Chirico F, Ladny JR, Peacock FW, Szarpak L. Systematic review with meta-analysis of mid-regional pro-adrenomedullin (MR-proadm) as a prognostic marker in Covid-19-hospitalized patients. Ann Med 2023; 55:379-387. [PMID: 36607317 PMCID: PMC9828692 DOI: 10.1080/07853890.2022.2162116] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/07/2023] Open
Abstract
BACKGROUND Mid-regional pro-adrenomedullin (MR-proADM) is useful for risk stratification in patients with sepsis and respiratory infections. The study's purpose was to assess the available data and determine the association between MR-proADM levels and mortality in COVID-19 participants. METHODS A comprehensive literature search of medical electronic databases was performed including PubMed, Web of Science, Scopus, Cochrane, and grey literature for relevant data published from 1 January 2020, to 20 November 2022. Mean differences (MD) with 95% confidence intervals (CI) were calculated. RESULTS Fourteen studies reported MR-proADM levels in survivors vs. non-survivors of COVID-19 patients. Pooled analysis showed that MR-proADM level in the survivor group was 0.841 ± 0.295 nmol/L for patients who survive COVID-19, compared to 1.692 ± 0.761 nmol/L for non-survivors (MD = -0.78; 95%CI: -0.92 to -0.64; p < 0.001). CONCLUSIONS The main finding of this study is that mortality of COVID-19 is linked to MR-proADM levels, according to this meta-analysis. The use of MR-proADM might be extremely beneficial in triaging, assessing probable therapy escalation, predicting potential complications during therapy or significant clinical deterioration of patients, and avoiding admission which may not be necessary. Nevertheless, in order to confirm the obtained data, it is necessary to conduct large prospective studies that will address the potential diagnostic role of MR-proADM as a marker of COVID-19 severity.KEY MESSAGESSeverity of COVID-19 seems to be linked to MR-proADM levels and can be used as a potential marker for predicting a patient's clinical course.The use of MR-proADM might be beneficial in triaging, assessing probable therapy escalation, predicting potential complications during therapy or significant clinical deterioration of patients, and avoiding admission which may not be necessary.For patients with COVID-19, MR-proADM may be an excellent prognostic indicator because it is a marker of endothelial function that may predict the precise impact on the equilibrium between vascular relaxation and contraction and lowers platelet aggregation inhibitors, coagulation inhibitors, and fibrinolysis activators in favor of clotting factors.
Collapse
Affiliation(s)
- Bartosz Fialek
- Rheumatology Department, Marshal Józef Piłsudski Memorial Hospital, Plonsk, Poland
| | - Charles De Roquetaillade
- Department of Anesthesiology, Burn and Critical Care, University Hospitals Saint-Louis-Lariboisière, AP-HP, Paris, France.,UMR-S 942, Institut National de la Santé et de la Recherche Médicale (INSERM), Cardiovascular Markers in Stressed Conditions (MASCOT), Paris University, Paris, France
| | - Michal Pruc
- Research Unit, Polish Society of Disaster Medicine, Warsaw, Poland
| | - Alla Navolokina
- Department of Public health and Social Medicine, International European University, Kyiv, Ukraine
| | - Francesco Chirico
- Post-Graduate School of Occupational Health, Università Cattolica del Sacro Cuore, Rome, Italy.,Health Service Department, Italian State Police, Ministry of the Interior, Milan, Italy
| | - Jerzy Robert Ladny
- Research Unit, Polish Society of Disaster Medicine, Warsaw, Poland.,Department of Emergency Medicine, Bialystok Medical University, Bialystok, Poland
| | - Frank William Peacock
- Henry JN Taub Department of Emergency Medicine, Baylor College of Medicine Houston, Houston, TX, USA
| | - Lukasz Szarpak
- Henry JN Taub Department of Emergency Medicine, Baylor College of Medicine Houston, Houston, TX, USA.,Institute of Outcomes Research, Maria Sklodowska-Curie Medical Academy, Warsaw, Poland.,Research Institute, Maria Sklodowska-Curie Bialystok Oncology Center, Bialystok, Poland
| |
Collapse
|
4
|
Sarigül A, Kaya A, Aziz IA, Yıldırım M, Özok HI, Chirico F, Zaffina S. General work stress and suicide cognitions in health-care workers: mediating effect of hopelessness and job satisfaction. Front Public Health 2023; 11:1254331. [PMID: 37942250 PMCID: PMC10629234 DOI: 10.3389/fpubh.2023.1254331] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2023] [Accepted: 10/02/2023] [Indexed: 11/10/2023] Open
Abstract
Individuals with a satisfactory level of job satisfaction are much less likely to feel hopeless about their future and are more likely to perform efficiently in the workplace. General work stress (i.e., the work-related stress subjectively experienced) is a significant predictor of suicide cognitions. Furthermore, it has been posited that satisfaction and hope are fundamental to life from an existential perspective. We, therefore, tested a hypothetical model of general work stress, suicide cognitions, hopelessness, and job satisfaction. The data were collected from 416 health-care workers through a convenience sampling method. The mediation analysis results revealed significant negative and positive relationships among general work stress, suicide conceptions, hopelessness, and job satisfaction. The findings indicate that hopelessness and job satisfaction have a parallel mediating effect in the relationship between general work stress and suicide cognitions. The result of the study is of great importance, which suggests that interventions to alleviate hopelessness and work stress and to boost the job satisfaction of medical staff may help prevent suicide cognitions.
Collapse
Affiliation(s)
- Abdulselami Sarigül
- Department of Therapy and Rehabilitation, Ağrı İbrahim Çeçen University, Ağrı, Türkiye
| | - Alican Kaya
- Department of Guidance and Psychological Counselling, Ağrı İbrahim Çeçen University, Ağrı, Türkiye
| | - Izaddin Ahmad Aziz
- Special Education Department, College of Education, Salahaddin University, Erbil, Iraq
- Department of English, College of Education, Bayan University, Erbil, Iraq
| | - Murat Yıldırım
- Faculty of Science and Letters, Department of Psychology, Ağrı İbrahim Çeçen University, Ağrı, Türkiye
- Graduate Studies and Research, Lebanese American University, Beyrut, Lebanon
| | - Halil Ibrahim Özok
- Department of Measurement and Assessment, Van Yüzüncü Yıl University, Van, Türkiye
| | - Francesco Chirico
- Post-Graduate School of Occupational Health, Università Cattolica del Sacro Cuore, Rome, Italy
- Health Service Department, Italian State Police, Ministry of the Interior, Milan, Italy
| | - Salvatore Zaffina
- Occupational Medicine/Health Technology Assessment and Safety Research Unit, Clinical-Technological Innovations Research Area, Bambino Gesù Children’s Hospital, IRCCS, Rome, Italy
| |
Collapse
|
5
|
Çağış ZG, Öztekin GG, Aziz IA, Chirico F, Rizzo A, Yıldırım M. Meaning in Life and Loneliness as Mediators between COVID-19 Anxiety and Life Satisfaction in the Post-Pandemic among the General Population in Turkey: A Serial Mediation Model. Eur J Investig Health Psychol Educ 2023; 13:2214-2225. [PMID: 37887157 PMCID: PMC10606174 DOI: 10.3390/ejihpe13100156] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2023] [Revised: 09/28/2023] [Accepted: 10/04/2023] [Indexed: 10/28/2023] Open
Abstract
The COVID-19 pandemic has impacted global society, leading to negative well-being and mental health outcomes. However, little is known about how COVID-19-related anxiety affects life satisfaction through psychological factors. This study examined the mediating roles of meaning in life and loneliness in the relationship between COVID-19 anxiety and life satisfaction in 333 Turkish general population (59.2% females; Mage = 33.9 ± 7.8). Participants completed measures of COVID-19 anxiety, life satisfaction, meaning in life, and loneliness. The results showed that COVID-19 anxiety predicted meaning in life, loneliness, and life satisfaction. Meaning in life predicted loneliness and life satisfaction, while loneliness predicted life satisfaction. Serial mediation analysis revealed that COVID-19 anxiety predicts life satisfaction through meaning in life and loneliness, even after controlling for age and gender. These findings contribute to our understanding of the underlying mechanisms between COVID-19 anxiety and life satisfaction, with implications for future research and practice.
Collapse
Affiliation(s)
- Zafer Güney Çağış
- Department of Psychology, Faculty of Science and Letters, Mersin University, 33110 Mersin, Turkey;
- Department of Psychology, Faculty of Science and Letters, Agri Ibrahim Cecen University, Fırat Mahallesi Yeni Üniversite Caddesi No: 2 AE/1, 04100 Merkez/Ağrı, Turkey;
| | - Gülçin Güler Öztekin
- Department of Psychology, Faculty of Science and Letters, Agri Ibrahim Cecen University, Fırat Mahallesi Yeni Üniversite Caddesi No: 2 AE/1, 04100 Merkez/Ağrı, Turkey;
| | - Izaddin Ahmad Aziz
- Special Education Department, College of Education, Salahaddin University-Erbil, Erbil 44002, Iraq;
- English Department, College of Education, Bayan University, Erbil 44002, Iraq
| | - Francesco Chirico
- Post-Graduate School of Occupational Health, Università Cattolica del Sacro Cuore, 00168 Rome, Italy;
- Health Service Department, Italian State Police, Ministry of the Interior, 00184 Milan, Italy
| | - Amelia Rizzo
- Department of Clinical and Experimental Medicine, University of Messina, 98122 Messina, Italy
| | - Murat Yıldırım
- Department of Psychology, Faculty of Science and Letters, Agri Ibrahim Cecen University, Fırat Mahallesi Yeni Üniversite Caddesi No: 2 AE/1, 04100 Merkez/Ağrı, Turkey;
- Graduate Studies and Research, Lebanese American University, Beirut 13-5053, Lebanon
| |
Collapse
|
6
|
Rizzo A, La Rosa VL, Commodari E, Alparone D, Crescenzo P, Yıldırım M, Chirico F. Wanna Bet? Investigating the Factors Related to Adolescent and Young Adult Gambling. Eur J Investig Health Psychol Educ 2023; 13:2202-2213. [PMID: 37887156 PMCID: PMC10606462 DOI: 10.3390/ejihpe13100155] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2023] [Revised: 10/02/2023] [Accepted: 10/03/2023] [Indexed: 10/28/2023] Open
Abstract
For many adolescents and young adults, gambling can represent an attractive and exciting form of entertainment, a way to take risks and explore new experiences. However, gambling also poses a significant risk for this age group. Research suggests that adolescents and young adults are particularly vulnerable to the negative consequences of gambling, including addiction, financial difficulties, and mental health issues. This paper aims to critically examine data on adolescent and young adult gambling, focusing on the risk factors associated with gambling behavior. A total of 326 subjects (Mage = 19.01; SD =2.72), of whom 65.5% were female, completed a protocol containing a demographic sheet, the Lie/Bet Questionnaire, the Seven Domains Addiction Scale (7DAS), a subscale of the Addictive Behavior Questionnaire and the Coping Inventory for Stressful Situations (CISS). Specifically, we explored the impact of sociodemographic, environmental, psychological, and cognitive factors on adolescent and young adult gambling behavior. Clinical implications and future directions are discussed.
Collapse
Affiliation(s)
- Amelia Rizzo
- Department of Clinical and Experimental Medicine, University of Messina, 98122 Messina, Italy
| | | | - Elena Commodari
- Department of Educational Sciences, University of Catania, 95124 Catania, Italy; (V.L.L.R.)
| | - Dario Alparone
- Department of Psychology, University of Rennes 2, 35700 Rennes, France
| | - Pietro Crescenzo
- Department of Education Sciences, Psychology and Communication Sciences, University of Bari, 70121 Bari, Italy;
| | - Murat Yıldırım
- Department of Psychology, Agri Ibrahim Cecen University, 04100 Agri, Turkey
- Graduate Studies and Research, Lebanese American University, Beirut 1102-2801, Lebanon
| | - Francesco Chirico
- Post-Graduate School of Occupational Health, Sacred Heart Catholic University, 75732 Rome, Italy
- Health Service Department, Italian State Police, Ministry of the Interior, 20123 Milan, Italy
| |
Collapse
|
7
|
Pruc M, Jannasz I, Swieczkowski D, Procyk G, Gasecka A, Rafique Z, Chirico F, Bragazzi NL, Jaguszewski MJ, Wysocki J, Szarpak L. Diagnostic value of soluble urokinase-type plasminogen activator receptor in patients with acute coronary syndrome: A systematic review and meta-analysis. Cardiol J 2023:VM/OJS/J/96228. [PMID: 37772350 DOI: 10.5603/cj.96228] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2023] [Accepted: 08/19/2023] [Indexed: 09/30/2023] Open
Abstract
BACKGROUND In contemporary clinical practice, there is an increasing need for new clinically relevant biomarkers potentially optimizing management strategies in patients with suspected acute coronary syndrome (ACS). This study aimed to determine the diagnostic utility of soluble urokinase-type plasminogen activator receptor (suPAR) levels in individuals with suspected ACS. METHODS A literature search was performed in Web of Science, PubMed, Scopus, and the Cochrane Central Register of Controlled Trials databases, for studies comparing suPAR levels among patients with and without ACS groups. The methodological quality of the included papers was assessed using the Newcastle-Ottawa Scale (NOS). A fixed-effects model was used if I² < 50%; otherwise, the random-effects model was performed. RESULTS Five studies with 3417 participants were included in the meta-analysis. Pooled analysis showed that mean suPAR levels in the ACS group were statistically significantly higher than in the control group (3.56 ± 1.38 vs. 2.78 ± 0.54 ng/mL, respectively; mean difference: 1.04; 95% confidence interval: 0.64-1.44; I² = 99%; p < 0.001). CONCLUSIONS In the context of acute coronary syndrome, suPAR is a potential biomarker for the early identification of medical conditions in individuals who are being treated in emergency rooms.
Collapse
Affiliation(s)
- Michal Pruc
- Research Unit, Polish Society of Disaster Medicine, Warsaw, Poland
- Department of Public Health, International Academy of Ecology and Medicine, Kyiv, Ukraine
| | - Iwona Jannasz
- Department of Geriatrics, National Institute of Geriatrics, Rheumatology, and Rehabilitation, Warsaw, Poland
| | - Damian Swieczkowski
- Department of Toxicology, Faculty of Pharmacy, Medical University of Gdansk, Poland
| | - Grzegorz Procyk
- 1st Chair and Department of Cardiology, Medical University of Warsaw, Poland
| | - Aleksandra Gasecka
- 1st Chair and Department of Cardiology, Medical University of Warsaw, Poland
| | - Zubaid Rafique
- Henry JN Taub Department of Emergency Medicine, Baylor College of Medicine, Houston, TX, United States
| | - Francesco Chirico
- Post-Graduate School of Occupational Health, Università Cattolica del Sacro Cuore, Rome, Italy
| | - Nicola Luigi Bragazzi
- Department of Mathematics and Statistics, Laboratory for Industrial and Applied Mathematics (LIAM), York University, Toronto, Canada
| | | | - Jaroslaw Wysocki
- Institute of Outcomes Research, Maria Sklodowska-Curie Medical Academy, Warsaw, Poland
| | - Lukasz Szarpak
- Henry JN Taub Department of Emergency Medicine, Baylor College of Medicine, Houston, TX, United States.
- Research Unit, Maria Sklodowska-Curie Bialystok Oncology Center, Bialystok, Poland.
| |
Collapse
|
8
|
Rizzo A, Yıldırım M, Öztekin GG, Carlo AD, Nucera G, Szarpak Ł, Zaffina S, Chirico F. Nurse burnout before and during the COVID-19 pandemic: a systematic comparative review. Front Public Health 2023; 11:1225431. [PMID: 37732086 PMCID: PMC10507882 DOI: 10.3389/fpubh.2023.1225431] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2023] [Accepted: 07/27/2023] [Indexed: 09/22/2023] Open
Abstract
Introduction This review aimed to compare available evidence examining burnout using the Maslach Burnout Inventory (MBI) in nurses before and during the COVID-19 pandemic. The specific objective was to compare nurse burnout scores in terms of emotional exhaustion, depersonalization, and personal accomplishment. Methods A comprehensive search was conducted for studies on nurses' burnout using the MBI published between 1994 and 2022. In total, 19 studies conducted prior to the pandemic and 16 studies conducted during the pandemic were included and compared using the criteria from the Joanna Briggs Institute Critical Appraisal Tool. Results Surprisingly, the results indicated that nurses' burnout scores did not differ significantly before (N = 59,111) and during (N = 18,629) the pandemic. The difference observed was qualitative rather than quantitative. Discussion The outbreak of the COVID-19 pandemic exacerbated an already critical situation, and while COVID-19 may serve as an additional triggering factor for staff mental illness, it cannot solely explain the observed burnout levels. These findings underscore the need for long-term clinical and preventive psychological interventions, suggesting that psychological resources should not be limited to emergencies but extended to address the ongoing challenges faced by nurses. Systematic review registration https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=399628, identifier: CRD42023399628.
Collapse
Affiliation(s)
- Amelia Rizzo
- Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy
| | - Murat Yıldırım
- Department of Psychology, Faculty of Science and Letters, Agri Ibrahim Cecen University, Agri, Türkiye
| | - Gülçin Güler Öztekin
- Department of Psychology, Faculty of Science and Letters, Agri Ibrahim Cecen University, Agri, Türkiye
| | - Alessandro De Carlo
- Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy
| | - Gabriella Nucera
- Department of Emergency, Fatebenefratelli Hospital, ASST Fatebenefratelli and Sacco, Milan, Italy
| | - Łukasz Szarpak
- Institute of Outcomes Research, Maria Sklodowska-Curie Medical Academy, Warsaw, Poland
- Research Unit, Maria Sklodowska-Curie Bialystok Oncology Center, Bialystok, Poland
- Henry JN Taub Department of Emergency Medicine, Baylor College of Medicine, Houston, TX, United States
| | - Salvatore Zaffina
- Occupational Medicine Unit, Bambino Gesù Children's Hospital, Scientific Institutes for Research and Care (IRCCS), Rome, Italy
| | - Francesco Chirico
- Post-Graduate School of Occupational Health, Università Cattolica del Sacro Cuore, Rome, Italy
- Health Service Department, Italian State Police, Ministry of the Interior, Centro Sanitario Polifunzionale, Milan, Italy
| |
Collapse
|
9
|
Chirico F, Acquadro Maran D, Sharma M. Editorial: Spirituality in the workplace. Front Psychol 2023; 14:1162716. [PMID: 37359891 PMCID: PMC10286578 DOI: 10.3389/fpsyg.2023.1162716] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2023] [Accepted: 05/24/2023] [Indexed: 06/28/2023] Open
Affiliation(s)
- Francesco Chirico
- Post-graduate School of Occupational Health, Università Cattolica del Sacro Cuore, Rome, Italy
| | | | - Manoj Sharma
- Department of Social and Behavioral Health, School of Public Health, University of Nevada, Las Vegas (UNLV), Las Vegas, NV, United States
- Department of Internal Medicine, Kirk Kerkorian School of Medicine at UNLV, University of Nevada, Las Vegas (UNLV), Las Vegas, NV, United States
| |
Collapse
|
10
|
Yıldırım M, Kaynar Ö, Chirico F, Magnavita N. Resilience and Extrinsic Motivation as Mediators in the Relationship between Fear of Failure and Burnout. Int J Environ Res Public Health 2023; 20:ijerph20105895. [PMID: 37239621 DOI: 10.3390/ijerph20105895] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/19/2023] [Revised: 04/04/2023] [Accepted: 05/17/2023] [Indexed: 05/28/2023]
Abstract
Athletes with fear of failure are at risk of developing the symptoms of a wide range of psychological problems, including burnout. Understanding the risks and protective factors of athletes' psychological health is an essential step in tailoring strategies and interventions to promote athletes' psychological and mental health. This study examined the mediating roles of resilience and extrinsic motivation in the relationship between fear of failure and burnout among Turkish athletes. The study included 335 young athletes (93.4% males) whose ages ranged from 18 to 55 years (M = 24.95, SD = 8.22). Participants completed the self-reported measures of fear of failure, resilience, extrinsic motivation, and burnout. The analysis revealed that fear of failure had significant predictive effects on resilience, extrinsic motivation, and burnout. Resilience and extrinsic motivation also had significant predictive effects on burnout. The mediation analysis results showed that both resilience and extrinsic motivation partially mediated the effect of fear of failure on athlete burnout. The findings of the study provide a better insight into the underlying mechanisms between fear of failure and athlete burnout by considering resilience and extrinsic motivation as mediators. These results suggest that the adverse impact of fear of failure on athlete burnout can be mitigated by cultivating resilience and hindering extrinsic motivation.
Collapse
Affiliation(s)
- Murat Yıldırım
- Department of Psychology, Faculty of Science and Letters, Agri Ibrahim Cecen University, 04100 Ağrı, Turkey
| | - Ömer Kaynar
- Sports Science Faculty, Muş Alparslan University, 49250 Muş, Turkey
| | - Francesco Chirico
- Post-Graduate School of Occupational Health, Università Cattolica del Sacro Cuore, 20123 Rome, Italy
- Health Service Department, Italian State Police, Ministry of the Interior, 00198 Milan, Italy
| | - Nicola Magnavita
- Post-Graduate School of Occupational Health, Università Cattolica del Sacro Cuore, 20123 Rome, Italy
| |
Collapse
|
11
|
Wieczorek P, Pruc M, Krajsman M, Wieczorek W, Cander B, Szarpak L, Navolokina A, Matuszewski M, Bragazzi NL, Chirico F, Smereka J. Comparison of the bébé VieScope™ and direct laryngoscope for pediatric tongue oedema scenario: A simulation study. Am J Emerg Med 2023:S0735-6757(23)00227-9. [PMID: 37150648 DOI: 10.1016/j.ajem.2023.04.039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2023] [Accepted: 04/23/2023] [Indexed: 05/09/2023] Open
Affiliation(s)
- Pawel Wieczorek
- Pediatric Intensive Care Unit (PICU), John Paul II Upper Silesian Health Centre in Katowice, Katowice, Poland; Research Unit, Polish Society of Disaster Medicine, Warsaw, Poland
| | - Michal Pruc
- Research Unit, Polish Society of Disaster Medicine, Warsaw, Poland; Department of Public Health, International Academy of Ecology and Medicine, Kyiv, Ukraine
| | - Maciej Krajsman
- Research Unit, Polish Society of Disaster Medicine, Warsaw, Poland; Department of Medical Informatics and Telemedicine, Medical University of Warsaw, Warsaw, Poland
| | - Wojciech Wieczorek
- Research Unit, Polish Society of Disaster Medicine, Warsaw, Poland; Department of Emergency Medicine, Medical University of Warsaw, Warsaw, Poland
| | - Basar Cander
- Department of Emergency Medicine, Bezmialem Vakif University, Fatih/Istanbul, Turkey
| | - Lukasz Szarpak
- Henry JN Taub Department of Emergency Medicine, Baylor College of Medicine Houston, Houston, TX, United States; Research Unit, Maria Sklodowska-Curie Bialystok Oncology Center, Bialystok, Poland; Institute of Outcomes Research, Maria Sklodowska-Curie Medical Academy, Warsaw, Poland.
| | - Alla Navolokina
- European School of Medicine, International European University, Kyiv, Ukraine
| | - Michal Matuszewski
- Department of Anaesthesiology and Intensive Therapy, Central Clinical Hospital of the Ministry of Interior and Administration, Warsaw, Poland
| | - Nicola Luigi Bragazzi
- Department of Mathematics and Statistics, Laboratory for Industrial and Applied Mathematics (LIAM), York University, Toronto, ON, Canada
| | - Francesco Chirico
- Health Service Department, Italian State Police, Ministry of the Interior, Milano, Italy
| | - Jacek Smereka
- Research Unit, Polish Society of Disaster Medicine, Warsaw, Poland; Department of Emergency Medical Service, Wroclaw Medical University, Wroclaw, Poland
| |
Collapse
|
12
|
Yıldırım M, Kaynar Ö, Arslan G, Chirico F. Fear of COVID-19, Resilience, and Future Anxiety: Psychometric Properties of the Turkish Version of the Dark Future Scale. J Pers Med 2023; 13:jpm13040597. [PMID: 37108983 PMCID: PMC10143929 DOI: 10.3390/jpm13040597] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2023] [Revised: 03/22/2023] [Accepted: 03/28/2023] [Indexed: 03/31/2023] Open
Abstract
The COVID-19 pandemic has brought many disruptions to individuals’ everyday lives and caused wide-ranging, drastic effects on their well-being, mental health, and physical health. This study sought to validate the Dark Future Scale (DFS) and examine its reliability and validity in Turkish. The present study also examined the relationship between fear of COVID-19, dark future anxiety, and resilience during the COVID-19 pandemic in Turkey. Four hundred and eighty-nine Turkish athletes (mean age = 23.08 ± 6.64) completed measures on fear, anxiety, resilience, and demographic information. Exploratory and confirmatory factor analyses revealed that the DFS had a one-factor solution with good reliability. Fear of COVID-19 significantly predicted resilience and future anxiety. Furthermore, resilience significantly predicted anxiety and mediated the effect of fear of COVID-19 on future anxiety. The findings have important implications for improving mental health and developing the resiliency of athletes during public health crises such as the COVID-19 pandemic.
Collapse
|
13
|
Khamisy-Farah R, Endrawis M, Odeh M, Tuma R, Riccò M, Chirico F, Bragazzi NL. Knowledge of Human Papillomavirus (HPV), Attitudes, and Practices Towards Anti-HPV Vaccination Among Israeli Nurses. J Cancer Educ 2023:10.1007/s13187-023-02281-0. [PMID: 36914922 DOI: 10.1007/s13187-023-02281-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 03/05/2023] [Indexed: 06/18/2023]
Abstract
Human papillomavirus (HPV) is a small, non-enveloped, double-stranded DNA virus, belonging to the family of Papillomaviridae. It is a highly common infectious agent, which causes one of the most widespread sexually transmitted infections (STIs), involving approximately 20% of sexually active female adolescents and up to 80% of female adults aged 50 years. There exist two major preventative strategies: namely, anti-HPV vaccination and cervical screening. Healthcare providers, including nurses, can play a crucial role in HPV immunization campaigns, counteracting vaccine hesitancy and doing advocacy and counseling. To explore the overall knowledge of HPV and HPV-related issues, as well as the attitudes and practices of Israeli nurses, a modified and adapted, previously validated knowledge, attitudes, and practices (KAP) questionnaire was administered to a sample of 565 participants, 481 female (85.1%) and 84 male (14.9%). Most of them were married (n = 428, 75.8%), with more than 5 years of experience (n = 405, 71.7%), working in the general/internal medicine ward (n = 432, 76.5%), and Jewish (n = 352, 62.3%). Only 87 nurses (15.4%) got vaccinated against HPV. Forty-four (9.1%) of the female nurses never underwent a Pap smear. Higher percentages of right replies were reported only for the item related to available preventative strategies for cervical cancer (82.1% versus 17.9%). Higher percentages of wrong replies were reported for items related to body regions that can be infected by HPV (60.5% versus 39.5%), percentage of girls aged 15-18 years being sexually active (68.0% versus 32.0%). Similar percentages of right and wrong replies were reported for items related to whom the Pap test is recommended (52.7% versus 47.3%), Israeli Ministry of Health's guidelines for anti-HPV vaccination (50.4% versus 49.6%), and percentage of boys aged 15-18 years being sexually active (44.4% versus 55.6%). Concerning the reliability of the third section of the questionnaire, Cronbach's alpha was deemed to be acceptable (α = 0.64). Statistically significant determinants of reporting lower scores in HPV-related attitudes and practices were religion (OR 1.44 [95%CI 1.02-2.04]), and male offspring (OR 1.22 [1.03-1.44]). This study has important implications for policy- and decision-makers in that they should be aware of the overall poor and unsatisfactory level of HPV-related knowledge among Israeli nurses and implement multipronged HPV vaccine promotion programs, taking into account the challenges of a multicultural and diverse society like Israel.
Collapse
Affiliation(s)
- Rola Khamisy-Farah
- Clalit Health Service, Akko, Azrieli Faculty of Medicine, Bar-Ilan University, 13100, Safed, Israel.
| | - Maher Endrawis
- Azrieli Faculty of Medicine, Bar Ilan University, 13100, Safed, Israel
| | - Marwan Odeh
- Department of Obstetrics and Gynecology, Galilee Medical Center, 22100, Nahariya, Galilee, Israel
| | - Ruba Tuma
- Department of Obstetrics and Gynecology, Galilee Medical Center, 22100, Nahariya, Galilee, Israel
| | - Matteo Riccò
- Local Health Unit of Reggio Emilia-Regional Health Service of Emilia Romagna, Department of Public Health, Service for Health and Safety in the Workplace, Reggio Emilia, Italy
| | - Francesco Chirico
- Post-Graduate School of Occupational Medicine, Università Cattolica del Sacro Cuore, 00168, Rome, Italy
- Department of Woman/Child and Public Health, Fondazione Policlinico "A. Gemelli" IRCCS, 00168, Rome, Italy
- Health Service Department, State Police, Ministry of Interior, 20125, Milan, Italy
| | - Nicola Luigi Bragazzi
- Laboratory for Industrial and Applied Mathematics (LIAM), Department of Mathematics and Statistics, York University, Toronto, ON, Canada
| |
Collapse
|
14
|
Chirico F, Teixeira da Silva JA. Evidence-based policies in public health to address COVID-19 vaccine hesitancy. Future Virol 2023; 18:10.2217/fvl-2022-0028. [PMID: 37034451 PMCID: PMC10079004 DOI: 10.2217/fvl-2022-0028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2022] [Accepted: 03/01/2023] [Indexed: 04/07/2023]
Abstract
A fundamental basis for effective health-related policymaking of any democratic nation should be open and transparent communication between a government and its citizens, including scientists and healthcare professionals, to foster a climate of trust, especially during the ongoing COVID-19 mass vaccination campaign. Since misinformation is a leading cause of vaccine hesitancy, open data sharing through an evidence-based approach may render the communication of health strategies developed by policymakers with the public more effective, allowing misinformation and claims that are not backed by scientific evidence to be tackled. In this narrative review, we debate possible causes of COVID-19 vaccine hesitancy and links to the COVID-19 misinformation epidemic. We also put forward plausible solutions as recommended in the literature.
Collapse
Affiliation(s)
- Francesco Chirico
- Post-graduate School of Occupational Medicine, Università Cattolica del Sacro Cuore, Rome, Italy
| | | |
Collapse
|
15
|
Chirico F, Yıldırım M, Dzieciatkowski T, Dabrowski M, Malysz M, Madziala M, Jaguszewski MJ, Bielski K, Nucera G, Filipiak KJ, Szarpak L. Efficiency rating of SG Diagnostics COVID-19 antigen rapid test kit. Future Virol 2023:10.2217/fvl-2021-0210. [PMID: 37091964 PMCID: PMC10115194 DOI: 10.2217/fvl-2021-0210] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2021] [Accepted: 01/16/2023] [Indexed: 04/25/2023]
Abstract
Aim: Rapid detection is crucial in complementing vaccination to reduce transmission of SARS-CoV-2. Materials & methods: Nasopharyngeal swabs (n = 213) and oropharyngeal swabs (n = 98) were tested. with the antigen rapid test kit. Results: Overall sensitivity (97.96%), specificity (100.00%) and coincidence rate (98.71%) were high, which translated into a positive predictive value of 100.00% and a negative predictive value of 96.64%. Conclusion: Antigen rapid tests have a great potential for screening in different settings to deliver results with high sensitivity and specificity.
Collapse
Affiliation(s)
- Francesco Chirico
- Post-graduate School of Occupational Health, Università Cattolica del Sacro Cuore, Rome, Italy
- Health Service Department, Italian State Police, Ministry of the Interior, Milan, Italy
- Author for correspondence:
| | - Murat Yıldırım
- Department of Psychology, Faculty of Science & Letters, Agri Ibrahim Cecen University, Ağrı, Turkey
| | - Tomasz Dzieciatkowski
- Chair & Department of Medical Microbiology, Medical University of Warsaw, Warsaw, Poland
| | - Marek Dabrowski
- Research Unit, Polish Society of Disaster Medicine, Warsaw, Poland
- Chair & Department of Medical Education, Poznan University of Medical Sciences, Poznan, Poland
| | - Marek Malysz
- Research Unit, Polish Society of Disaster Medicine, Warsaw, Poland
- Institute of Outcomes Research, Polonia University, Czestochowa, Poland
| | - Marcin Madziala
- Research Unit, Polish Society of Disaster Medicine, Warsaw, Poland
| | | | - Karol Bielski
- Research Unit, Polish Society of Disaster Medicine, Warsaw, Poland
- Institute of Outcomes Research, Polonia University, Czestochowa, Poland
- Emergency Medical Service, Warsaw, Poland
| | - Gabriella Nucera
- Department of Emergency, Fatebenefratelli Hospital, ASST Fatebenefratelli & Sacco, Milan, Italy
| | - Krzysztof J Filipiak
- Institute of Outcomes Research, Maria Sklodowska-Curie Medical Academy, Warsaw, Poland
| | - Lukasz Szarpak
- Research Unit, Polish Society of Disaster Medicine, Warsaw, Poland
- Institute of Outcomes Research, Maria Sklodowska-Curie Medical Academy, Warsaw, Poland
- Research Unit, Maria Sklodowska-Curie Bialystok Oncology Center, Bialystok, Poland
| |
Collapse
|
16
|
Matuszewski M, Szarpak L, Rafique Z, Peacock FW, Pruc M, Szwed P, Chirico F, Navolokina A, Ladny JR, Denegri A. Prediction Value of KREBS Von Den Lungen-6 (KL-6) Biomarker in COVID-19 Patients: A Systematic Review and Meta-Analysis. J Clin Med 2022; 11:jcm11216600. [PMID: 36362828 PMCID: PMC9658915 DOI: 10.3390/jcm11216600] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2022] [Revised: 11/02/2022] [Accepted: 11/06/2022] [Indexed: 11/09/2022] Open
Abstract
The SARS-CoV-2 (COVID-19) pandemic is a major issue that necessitates the use of cutting-edge disease prediction models. The aim of the study was to assess the existing evidence regarding association between Krebs von den Lungen-6 levels and COVID-19 severity. A literature search was performed on Web of Science, PubMed, Scopus and Cochrane Central Register of Controlled Trials databases from 1 January 2020 up to 2 August 2022. The electronic database search was supplemented by searching Google Scholar. In addition, reference lists of relative articles were also reviewed. KL-6 levels among COVID-19 positive vs. negative patients varied and amounted to 443.37 ± 249.33 vs. 205.73 ± 86.8 U/mL (MD = 275.33; 95%CI: 144.57 to 406.09; p < 0.001). The KL-6 level was 402.82 ± 261.16 U/mL in the severe group and was statistically significantly higher than in the non-severe group (297.38 ± 90.46 U/mL; MD = 192.45; 95%CI: 118.19 to 266.72; p < 0.001). The KL-6 level in the mild group was 272.28 ± 95.42 U/mL, compared to 268.04 ± 55.04 U/mL in the moderate COVID-19 group (MD = −12.58; 95%CI: −21.59 to −3.57; p = 0.006). Our meta-analysis indicates a significant association between increased KL-6 levels and SARS-CoV-2 infection. Moreover, KL-6 levels are significantly higher in patients with a more severe course of COVID-19, indicating that KL-6 may be a useful predictor to identify patients at risk for severe COVID-19.
Collapse
Affiliation(s)
- Michal Matuszewski
- Department of Anaesthesiology and Intensive Therapy at the Central Clinical Hospital of the Ministry of Interior and Administration, 02-507 Warsaw, Poland
| | - Lukasz Szarpak
- Henry JN Taub Department of Emergency Medicine, Baylor College of Medicine, Houston, TX 77030, USA
- Institute of Outcomes Research, Maria Sklodowska-Curie Medical Academy, 00-136 Warsaw, Poland
- Correspondence:
| | - Zubaid Rafique
- Henry JN Taub Department of Emergency Medicine, Baylor College of Medicine, Houston, TX 77030, USA
| | - Frank W. Peacock
- Henry JN Taub Department of Emergency Medicine, Baylor College of Medicine, Houston, TX 77030, USA
| | - Michal Pruc
- Research Unit, Polish Society of Disaster Medicine, 05-806 Warsaw, Poland
| | - Piotr Szwed
- 1st Chair and Department of Cardiology, Medical University of Warsaw, 02-097 Warsaw, Poland
| | - Francesco Chirico
- Post-Graduate School of Occupational Health, Università Cattolica del Sacro Cuore, 00168 Rome, Italy
- Health Service Department, Italian State Police, Ministry of the Interior, 20121 Milan, Italy
| | - Alla Navolokina
- Department of Public Health and Social Medicine, International European University, 03187 Kyiv, Ukraine
| | - Jerzy R. Ladny
- Research Unit, Polish Society of Disaster Medicine, 05-806 Warsaw, Poland
- Department of Emergency Medicine, Medical University of Bialystok, 15-089 Bialystok, Poland
| | - Andrea Denegri
- Cardiology Division, Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Policlinico di Modena, 41121 Modena, Italy
| |
Collapse
|
17
|
Chirico F, Leiter M. Correct use of the Maslach Burnout Inventory to develop evidence-based strategies against burnout syndrome during and post COVID-19 pandemic. Work 2022; 73:107-108. [DOI: 10.3233/wor-220072] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Affiliation(s)
- Francesco Chirico
- Post-Graduate School of Occupational Health, Università Cattolica del Sacro Cuore, Rome, Italy
- Health Service Department, Italian State Police, Ministry of the Interior, Milan, Italy
| | - Michael Leiter
- School of Psychology, Faculty of Health, Deakin University, Geelong, VIC, Australia
| |
Collapse
|
18
|
Abstract
Occupational risk assessment is the core of any practice in occupational health and safety at the workplace. In Italy, the implementation of the preventive measures required by law (DPCM of April 26, 2020 and subsequent modifications and integrations) can exempt the employers from legal disputes in case of COVID-19 infection among employees. However, these laws have made meaningless the risk assessment process, which is the ideal setting where the preven-tive and protective measures must be identified and enhanced by individual employers, in collaboration with health and safety managers and occupational physicians, in the true exposure conditions. In this commentary, the authors stressed the role of workplace risk assessment and occupational health services for the valuable contribution that they may give to the battle against COVID-19, in terms of prevention, contact-tracing activity and COVID-19 rates of vaccinal coverage.
Collapse
Affiliation(s)
- F Chirico
- Post-graduate School of Occupational Health, Università Cattolica del Sacro Cuore, Rome, Italy
- Health Service Department, Italian State Police, Ministry of Interior, Italy
| | - A Sacco
- Local Sanitary Unit Roma 4, Civitavecchia, Italy
| |
Collapse
|
19
|
Chirico F, Teixeira da Silva JA. COVID-19 Health Policies: The Need for Transparent Data Sharing Between Scientists, Governments, and Policymakers. Oman Med J 2022; 37:e418. [PMID: 36188880 PMCID: PMC9453758 DOI: 10.5001/omj.2022.63] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2021] [Accepted: 11/21/2021] [Indexed: 11/03/2022] Open
Affiliation(s)
- Francesco Chirico
- Post-graduate School of Occupational Medicine, Università Cattolica del Sacro Cuore, Rome, Italy
| | | |
Collapse
|
20
|
Sharma M, Batra K, Wilkerson AH, Chirico F, Raich S. A multi-theory model based analysis of correlates for initiating and sustaining mammography screening behavior among Hispanic American women in the United States. Health Promot Perspect 2022; 12:110-119. [PMID: 35854851 PMCID: PMC9277286 DOI: 10.34172/hpp.2022.14] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2022] [Accepted: 03/16/2022] [Indexed: 11/09/2022] Open
Abstract
Background: Despite the known advantages of mammography, screening rates among Hispanic American women are lower compared to other ethnic groups. Therefore, this cross-sectional study aimed to explore correlates of mammography screening behavior among a sample of Hispanic women aged 45-54 years living in the United States using the multi-theory model (MTM). Methods: A 50-item web-based survey consisting of psychometrically valid tools based on MTM theoretical framework was administered through non-random sampling procedures using Qualtrics. Univariate, bivariate, and multivariate statistics were used to analyze the data. Results: Out of 370 participants, nearly 49% (n=189) reported not having a mammogram in the past two years. The mean age of the sample was 48.8±2.8 years. A greater proportion of participants who have had a mammogram reported having health insurance compared to those who have not had a mammogram (93.1% vs. 75.7%, P <0.001). Results of hierarchical regression suggest that all MTM constructs, including participatory dialogue, behavioral confidence, and changes in the physical environment explained 33.4% of variance in initiating mammography behavior among those who have not had a mammogram. Similarly, practice for change, emotional transformation, and changes in the social environment explained 53% of the variance in sustenance of the behavior change. Conclusion: Along with the MTM subscales, this study points to the important correlates such as health insurance and messaging by healthcare providers to promote the mammography seeking behavior among Hispanic women.
Collapse
Affiliation(s)
- Manoj Sharma
- Department of Social & Behavioral Health, School of Public Health, University of Nevada, Las Vegas, USA
| | - Kavita Batra
- UNLV Medicine Trauma and Critical Care, Department of Medical Education, Kirk Kerkorian School of Medicine at UNLV, University of Nevada, Las Vegas, USA
| | | | - Francesco Chirico
- Università Cattolica del Sacro Cuore, Post-Graduate Specialization, Rome, Italy
| | - Siddharth Raich
- Department of Social & Behavioral Health, School of Public Health, University of Nevada, Las Vegas, USA
| |
Collapse
|
21
|
Abstract
During public health pandemics such as COVID-19, cooperative behaviors among scientists, journal editors, policy makers and research ethics committees, are essential to promote scientific integrity and societal trust in translational research and resultant public health decisions. This cooperation is possible by expanding the current way of working to include stakeholders beyond the research team via community events and special communication channels sponsored by research ethics committees. Research ethics committees with wider communication channels, increased transparency, and enhanced knowledge exchange have the potential to improve research design, performance, dissemination, and ultimately public benefit.
Collapse
Affiliation(s)
- Francesco Chirico
- Post-graduate School of Occupational Health, Università Cattolica del Sacro Cuore, Rome, Italy
- Centro Sanitario Polifunzionale di Milano, Health Service Department, Italian State Police, Ministry of the Interior, Milan, Italy
| | - Katrina A. Bramstedt
- Department of Medicine, Khalifa University College of Medicine and Health Sciences, Abu Dhabi, UAE
| |
Collapse
|
22
|
Affiliation(s)
- Francesco Chirico
- Post-Graduate School of Occupational Health, Università Cattolica del Sacro Cuore, Rome, Italy
- Health Service Department, Italian State Police, Ministry of the Interior, Centro Sanitario Polifunzionale di Milano, Milano, Italy
| | - Gabriella Nucera
- Department of Emergency, Fatebenefratelli Hospital, ASST Fatebenefratelli and Sacco, Milano, Italy
| | - Michael Leiter
- School of Psychology, Faculty of Health, Deakin University, Geelong, VIC, Australia
| |
Collapse
|
23
|
Chirico F, Nucera G, Sacco A, Taino G, Szarpak L, Imbriani M. Protecting hospitals from SARS-CoV-2 infection: A review-based comprehensive strategy for COVID-19 prevention and control. G Ital Med Lav Ergon 2022; 44:32-40. [PMID: 36346297] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Accepted: 01/01/2022] [Indexed: 05/18/2023]
Abstract
SUMMARY SARS-CoV-2-related infection can determine hospital-acquired infections among patients and healthcare workers. Aim of this paper was to review the literature for developing a strategy for protecting healthcare workers, patients, and visitors by COVID-19 hospital infection. A critical and rapid revision of the literature and international standards and Regulations on this topic allowed us to propose an evidencebased strategy in the framework of the workplace risk assessment for preventing nosocomial COVID-19 outbreaks. The virus' high transmissibility, the high prevalence of asymptomatic carriers and false-negative Covid-19 rates on naso- and oropharingeal swabs, put hospitals at high-risk of COVID-19 outbreaks. A comprehensive strategy based on standard precautions, administrative, environmental, and engineering controls, a screening protocol for patients on their admission to hospital, and a testing-based strategy for HCWs within health surveillance programs may prevent the onset of hospital outbreaks, which are a threat to community, patients and HCWs, compromising the sustainability of healthcare facilities.
Collapse
Affiliation(s)
- Francesco Chirico
- Post-graduate School of Occupational Health, Università Cattolica del Sacro Cuore, Rome, Italy
- Centro Sanitario Polifunzionale di Milano, Health Service Department, Italian State Police, Ministry of the Interior, Italy
| | - Gabriella Nucera
- Faculty of Medicine and Surgery, Nursing Science, University of Milan, Italy
- ASST Fatebenefratelli e Sacco, FatebeneFratelli Hospital, Department of Emergency, Milan, Italy
| | - Angelo Sacco
- Post-graduate School of Occupational Health, Università Cattolica del Sacro Cuore, Rome, Italy
- ASL Rome 2, Rome, Italy
| | - Giuseppe Taino
- IRCCS S. Maugeri Foundation, Hospital Unit of Occupational Medicine (UOOML), Pavia, Italy
| | - Lukasz Szarpak
- Institute of Outcomes Research, Maria Sklodowska-Curie Medical Academy, Warsaw, Poland and Maria Sklodowska-Curie Bialystok Oncology Center, Bialystok, Poland
| | - Marcello Imbriani
- IRCCS S. Maugeri Foundation, Hospital Unit of Occupational Medicine (UOOML), Pavia, Italy
- Department of Public Health, Experimental Medicine and Forensic, University of Pavia, Pavia, Italy
| |
Collapse
|
24
|
Magnavita N, Capitanelli I, Ilesanmi O, Chirico F. Occupational Lyme Disease: A Systematic Review and Meta-Analysis. Diagnostics (Basel) 2022; 12:diagnostics12020296. [PMID: 35204387 PMCID: PMC8870942 DOI: 10.3390/diagnostics12020296] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2021] [Revised: 01/20/2022] [Accepted: 01/21/2022] [Indexed: 12/05/2022] Open
Abstract
Lyme disease (LD) can have significant consequences for the health of workers. The frequency of infection can be estimated by using prevalence and incidence data on antibodies against Borrelia Burgdoferi (BB). A systematic search of studies published in English between 2002 and 2021 and a meta-analysis were conducted in PubMed/Medline, Web of Science, Scopus, and Google Scholar databases. Out of a total of 1125 studies retrieved, 35 articles were included in the systematic review. Overall, in these studies, outdoor workers showed a 20.5% BB seroprevalence rate. Meta-analysis, performed on 15 studies (3932 subjects), revealed a significantly increased risk in outdoor activities (OR 1.93 95%CI 1.15–3.23), with medium-level heterogeneity (I2 = 69.2%), and non-significant publication bias. The estimated OR in forestry and agricultural workers was 2.36 (CI95% 1.28; 4.34) in comparison with the controls, while a non-significant increase in risk (OR = 1.05, CI95% 0.28; 3.88) was found in the remaining categories of workers (veterinarians, animal breeders, soldiers). The estimated pooled risk was significantly higher in the studies published until 2010 (OR 3.03 95%CI 1.39–6.61), while in more recent studies the odds became non-significant (OR 1.08 95% CI 0.63–1.85). The promotion of awareness campaigns targeting outdoor workers in endemic areas, and the implementation of local programs aimed at controlling range expansion of vectors, are key strategies for protecting workers.
Collapse
Affiliation(s)
- Nicola Magnavita
- Post-Graduate School of Occupational Medicine, Università Cattolica del Sacro Cuore, 00168 Rome, Italy;
- Department of Science of Woman, Child & Public Health, Fondazione Policlinico Agostino Gemelli IRCSS, 00168 Rome, Italy
- Correspondence: ; Tel.: +39-34-7330-0367
| | - Ilaria Capitanelli
- Prevention Service in the Workplace (SPRESAL), Local Health Unit Roma 4, 00053 Civitavecchia, Italy;
| | - Olayinka Ilesanmi
- Department of Community Medicine, College of Medicine, University of Ibadan, Ibadan 200281, Nigeria;
| | - Francesco Chirico
- Post-Graduate School of Occupational Medicine, Università Cattolica del Sacro Cuore, 00168 Rome, Italy;
- Health Service Department, Italian State Police, Ministry of the Interior, 20123 Milan, Italy
| |
Collapse
|
25
|
Szarpak L, Peacock FW, Rafique Z, Ladny JR, Nadolny K, Malysz M, Dabrowski M, Chirico F, Smereka J. Comparison of Vie Scope® and Macintosh laryngoscopes for intubation during resuscitation by paramedics wearing personal protective equipment. Am J Emerg Med 2022; 53:122-126. [PMID: 35016094 PMCID: PMC8731221 DOI: 10.1016/j.ajem.2021.12.069] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2021] [Revised: 12/28/2021] [Accepted: 12/28/2021] [Indexed: 12/12/2022] Open
Abstract
Background Endotracheal intubation (ETI) is still the gold standard of airway management, but in cases of sudden cardiac arrest in patients with suspected SARS-CoV-2 infection, ETI is associated with risks for both the patient and the medical personnel. We hypothesized that the Vie Scope® is more useful for endotracheal intubation of suspected or confirmed COVID-19 cardiac arrest patients than the conventional laryngoscope with Macintosh blade when operators are wearing personal protective equipment (PPE). Methods Study was designed as a prospective, multicenter, randomized clinical trial performed by Emergency Medical Services in Poland. Patients with suspected or confirmed COVID-19 diagnosis who needed cardiopulmonary resuscitation in prehospital setting were included. Patients under 18 years old or with criteria predictive of impossible intubation under direct laryngoscopy, were excluded. Patients were randomly allocated 1:1 to Vie Scope® versus direct laryngoscopy with a Macintosh blade. Study groups were compared on success of intubation attempts, time to intubation, glottis visualization and number of optimization maneuvers. Results We enrolled 90 out-of-hospital cardiac arrest (OHCA) patients, aged 43–92 years. Compared to the VieScope® laryngoscope, use of the Macintosh laryngoscope required longer times for tracheal intubation with an estimated mean difference of −48 s (95%CI confidence interval [CI], −60.23, −35.77; p < 0.001). Moreover VieScope® improved first attempt success rate, 93.3% vs. 51.1% respectively (odds ratio [OR] = 13.39; 95%CI: 3.62, 49.58; p < 0.001). Conclusions The use of the Vie Scope® laryngoscope in OHCA patients improved the first attempt success rate, and reduced intubation time compared to Macintosh laryngoscope in paramedics wearing PPE for against aerosol generating procedures. Trial registration: ClinicalTrials registration number NCT04365608
Collapse
Affiliation(s)
- Lukasz Szarpak
- Institute of Outcomes Research, Maria Sklodowska-Curie Medical Academy, Warsaw, Poland; Research Unit, Maria Sklodowska-Curie Bialystok Oncology Center, Bialystok, Poland; Research Unit, Polish Society of Disaster Medicine, Warsaw, Poland; Henry JN Taub Department of Emergency Medicine, Baylor College of Medicine, Houston, TX, USA.
| | - Frank W Peacock
- Henry JN Taub Department of Emergency Medicine, Baylor College of Medicine, Houston, TX, USA
| | - Zubaid Rafique
- Henry JN Taub Department of Emergency Medicine, Baylor College of Medicine, Houston, TX, USA
| | - Jerzy R Ladny
- Research Unit, Polish Society of Disaster Medicine, Warsaw, Poland; Department Emergency Medicine, University Medicine of Białystok, Bialystok, Poland
| | - Klaudiusz Nadolny
- Department of Emergency Medical Service, Higher School of Strategic Planning in Dabrowa Gornicza, Dabrowa Gornicza, Poland
| | - Marek Malysz
- Institute of Outcomes Research, Maria Sklodowska-Curie Medical Academy, Warsaw, Poland; Research Unit, Polish Society of Disaster Medicine, Warsaw, Poland
| | - Marek Dabrowski
- Research Unit, Polish Society of Disaster Medicine, Warsaw, Poland; Department of Medical Education, Poznan University of Medical Sciences, Poznan, Poland
| | - Francesco Chirico
- Post-graduate School of Occupational Health, Università Cattolica del Sacro Cuore, Rome, Italy; Health Service Department, Italian State Police, Ministry of the Interior, Milan, Italy
| | - Jacek Smereka
- Research Unit, Polish Society of Disaster Medicine, Warsaw, Poland; Department of Emergency Medical Service, Wroclaw Medical University, Wroclaw, Poland
| |
Collapse
|
26
|
Abstract
There are currently eight vaccines against SARS-CoV-2 that have received Emergency Use Authorization by the WHO that can offer some protection to the world's population during the COVID-19 pandemic. Though research is being published all over the world, public health officials, policymakers and governments are collecting evidence-based information to establish the public health policies. Unfortunately, continued international travel, violations of lockdowns and social distancing, the lack of mask use, the emergence of mutant strains of the virus and lower adherence by a sector of the global population that remains sceptical of the protection offered by vaccines, or about any risks associated with vaccines, hamper these efforts. Here we examine the literature on the efficacy, effectiveness and safety of COVID-19 vaccines, with an emphasis on select categories of individuals and against new SARS-CoV-2 strains. The literature shows that these eight vaccines are highly effective in protecting the population from severe disease and death, but there are some issues concerning safety and adverse effects. Further, booster shots and variant-specific vaccines would also be required.
Collapse
Affiliation(s)
- Francesco Chirico
- Department of Public Health, Post-graduate School of Occupational Medicine, Catholic University of the Sacred Heart, Rome, Italy
| | | | - Panagiotis Tsigaris
- Department of Economics, Thompson Rivers University, Kamloops, British Columbia, Canada
| | - Khan Sharun
- Division of Surgery, ICAR-Indian Veterinary Research Institute, Bareilly, Uttar Pradesh, India
| |
Collapse
|
27
|
Chirico F, Nucera G, Ilesanmi O, Afolabi A, Pruc M, Szarpak L. Identifying asymptomatic cases during the mass COVID-19 vaccination campaign: insights and implications for policy makers. Future Virol 2021. [PMID: 34950218 PMCID: PMC8686840 DOI: 10.2217/fvl-2021-0243] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2021] [Accepted: 11/24/2021] [Indexed: 02/07/2023]
Affiliation(s)
- Francesco Chirico
- Post-graduate School of Occupational health, Università Cattolica del Sacro Cuore, Rome, Italy.,Health Service Department, Italian State Police, Ministry of the Interior, Milan, Italy
| | - Gabriella Nucera
- Department of Emergency, Fatebenefratelli Hospital, ASST Fatabenefratelli & Sacco, Milan, Italy
| | - Olayinka Ilesanmi
- Department of Community Medicine, College of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria.,Department of Community Medicine, University College Hospital, Ibadan, Oyo State, Nigeria
| | - Aanuoluwapo Afolabi
- Department of Community Medicine, College of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria
| | - Michal Pruc
- Polish Society of Disaster Medicine, Warsaw, Poland
| | - Lukasz Szarpak
- Institute of Outcomes Research, Maria Sklodowska-Curie Medical Academy, Warsaw, Poland.,Maria Sklodowska-Curie Bialystok Oncology Center, Bialystok, Poland
| |
Collapse
|
28
|
Szarpak L, Pruc M, Koda M, Chirico F. Heart inflammation risk after COVID-19 vaccine. Cardiol J 2021; 28:1001-1002. [PMID: 34897637 PMCID: PMC8747813 DOI: 10.5603/cj.a2021.0161] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2021] [Revised: 12/04/2021] [Accepted: 12/04/2021] [Indexed: 11/25/2022] Open
Affiliation(s)
- Lukasz Szarpak
- Institute of Research Outcomes, Maria Sklodowska-Curie Medical Academy, Warsaw, Poland.
- Research Unit, Maria Sklodowska-Curie Bialystok Oncology Center, Bialystok, Poland.
- Research Unit, Polish Society of Disaster Medicine, Warsaw, Poland.
| | - Michal Pruc
- Research Unit, Polish Society of Disaster Medicine, Warsaw, Poland
| | - Mariusz Koda
- Research Unit, Maria Sklodowska-Curie Bialystok Oncology Center, Bialystok, Poland
| | - Francesco Chirico
- Post-graduate School of Occupational Health, Università Cattolica del Sacro Cuore, Rome, Italy
- Health Service Department, Italian State Police, Milan, Italy
| |
Collapse
|
29
|
Ilesanmi OS, Chirico F, Afolabi AA, Nucera G. Coping with the third wave of the COVID-19 pandemic in Africa: implications for an improved outbreak response. Future Virol 2021:10.2217/fvl-2021-0184. [PMID: 35069774 PMCID: PMC8764879 DOI: 10.2217/fvl-2021-0184] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2021] [Accepted: 12/10/2021] [Indexed: 11/21/2022]
Abstract
The third wave of the COVID-19 pandemic has commenced. To avert increase in cases and avert preventable deaths, community engagement strategies such as the promotion of vaccination, voluntary testing and debunking of COVID-19-related rumors need to be undertaken.
Collapse
Affiliation(s)
- Olayinka Stephen Ilesanmi
- 1Department of Community Medicine, College of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria,2Department of Community Medicine, College of Medicine, University College Hospital, Ibadan, Oyo State, Nigeria,Author for correspondence:
| | - Francesco Chirico
- 3Post-Graduate School of Occupational Health, Università Cattolica del Sacro Cuore, Roma, Italy
| | | | - Gabriella Nucera
- 4Department of Medicine, ASST Fatebenefratelli & Sacco. Fatebenefratelli Hospital, Emergency Unit, Milan, Italy
| |
Collapse
|
30
|
Chirico F, Szarpak L. The Role of Occupational Risk Assessment and Health Surveillance in SARS-CoV-2 Antigen Testing of "Unexposed Asymptomatic Workers in Selected Workplaces". J Occup Environ Med 2021; 63:e957-e958. [PMID: 34860210 PMCID: PMC8630932 DOI: 10.1097/jom.0000000000002392] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Affiliation(s)
- Francesco Chirico
- School of Occupational Health Università Cattolica del Sacro Cuore Rome, Italy
- Health Service Department Italian State Police Ministry of Interior Italy
| | - Lukasz Szarpak
- Institute of Outcomes Research Maria Sklodowska-Curie Medical Academy Warsaw, Poland
- Maria Sklodowska-Curie Bialystok Oncology Center Bialystok, Poland
| |
Collapse
|
31
|
Szarpak L, Pruc M, Filipiak KJ, Popieluch J, Bielski A, Jaguszewski MJ, Gilis-Malinowska N, Chirico F, Rafique Z, Peacock FW. Myocarditis: A complication of COVID-19 and long-COVID-19 syndrome as a serious threat in modern cardiology. Cardiol J 2021; 29:178-179. [PMID: 34811716 PMCID: PMC8890406 DOI: 10.5603/cj.a2021.0155] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2021] [Accepted: 11/14/2021] [Indexed: 11/25/2022] Open
Affiliation(s)
- Lukasz Szarpak
- Institute of Outcomes Research, Maria Sklodowska-Curie Medical Academy, Warsaw, Poland.
- Maria Sklodowska-Curie Bialystok Oncology Center, Bialystok, Poland.
- Research Unit, Polish Society of Disaster Medicine, Warsaw, Poland.
| | - Michal Pruc
- Research Unit, Polish Society of Disaster Medicine, Warsaw, Poland
| | - Krzysztof J Filipiak
- Institute of Outcomes Research, Maria Sklodowska-Curie Medical Academy, Warsaw, Poland
| | - Julia Popieluch
- Students Research Club, Maria Sklodowska-Curie Medical Academy, Warsaw, Poland
| | - Andrzej Bielski
- Research Unit, Polish Society of Disaster Medicine, Warsaw, Poland
- Polonia University, Czestochowa, Poland
| | | | | | - Francesco Chirico
- Post-graduate School of Occupational Health, Università Cattolica del Sacro Cuore, Rome, Italy
- Health Service Department, Italian State Police, Milan, Italy
| | - Zubaid Rafique
- Henry JN Taub Department of Emergency Medicine, Baylor College of Medicine, Houston, TX, United States
| | - Frank W Peacock
- Henry JN Taub Department of Emergency Medicine, Baylor College of Medicine, Houston, TX, United States
| |
Collapse
|
32
|
Chirico F, Sacco A, Szarpak L, Nucera G. Training first aid rescuers at workplace during the COVID-19 pandemic in Italy: challenges and opportunities. Epidemiol Prev 2021; 45:434-435. [PMID: 35001584 DOI: 10.19191/ep21.6.110] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Affiliation(s)
- Francesco Chirico
- Post-graduate School of Occupational Health, Università Cattolica del Sacro Cuore, Rome (Italy);
- Health Service Department, Italian State Police, Ministry of the Interior, Milan (Italy)
| | - Angelo Sacco
- Post-graduate School of Occupational Health, Università Cattolica del Sacro Cuore, Rome (Italy)
- Local Health Unit Roma 4, Rome (Italy)
| | - Lukasz Szarpak
- Institute of Outcomes Research, Maria Sklodowska-Curie Medical Academy, Warsaw (Poland)
- Maria Sklodowska-Curie Bialystok Oncology Center, Bialystok (Poland)
| | - Gabriella Nucera
- Fatebenefratelli Hospital, ASST Fatebenefratelli and Sacco, University of Milan, Milan (Italy)
| |
Collapse
|
33
|
Szarpak L, Savytskyi I, Pruc M, Gozhenko A, Filipiak KJ, Rafique Z, Peacock FW, Ilesanmi OS, Chirico F. Variant lambda of the severe acute respiratory syndrome coronavirus 2 virus: A serious threat or the beginning of further dangerous mutations. Cardiol J 2021; 29:176-177. [PMID: 34642924 PMCID: PMC8890414 DOI: 10.5603/cj.a2021.0121] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2021] [Accepted: 08/20/2021] [Indexed: 12/01/2022] Open
Affiliation(s)
- Lukasz Szarpak
- Institute of Outcomes Research, Maria Sklodowska-Curie Medical Academy, Warsaw, Poland. .,Research Unit, Maria Sklodowska-Curie Bialystok Oncology Center, Bialystok, Poland. .,Polish Society of Disaster Medicine, Warsaw, Poland.
| | | | - Michal Pruc
- Polish Society of Disaster Medicine, Warsaw, Poland
| | | | - Krzysztof J Filipiak
- Institute of Outcomes Research, Maria Sklodowska-Curie Medical Academy, Warsaw, Poland
| | - Zubaid Rafique
- Henry JN Taub Department of Emergency Medicine, Baylor College of Medicine, Houston, TX, United States
| | - Frank William Peacock
- Henry JN Taub Department of Emergency Medicine, Baylor College of Medicine, Houston, TX, United States
| | - Olayinka S Ilesanmi
- Department of Community Medicine, College of Medicine, University of Ibadan, Oyo State, Nigeria.,Department of Community Medicine, University College Hospital, Ibadan, Oyo State, Nigeria
| | - Francesco Chirico
- Post-graduate School of Occupational Health, Università Cattolica del Sacro Cuore, Rome, Italy.,Health Service Department, Italian State Police, Milan, Italy
| |
Collapse
|
34
|
Nucera G, Chirico F, Rafique Z, Gilis-Malinowska N, Gasecka A, Litvinova N, Wang B, Ilesanmi O, Pruc M, Jaguszewski MJ, Szarpak L. Need to update cardiological guidelines to prevent COVID-19 related myocardial infarction and ischemic stroke. Cardiol J 2021; 29:174-175. [PMID: 34642925 PMCID: PMC8890413 DOI: 10.5603/cj.a2021.0120] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2021] [Accepted: 08/19/2021] [Indexed: 11/25/2022] Open
Affiliation(s)
- Gabriella Nucera
- Department of Emergency, Fatebenefratelli Hospital, ASST Fatebenefratelli and Sacco, Milan, Italy
| | - Francesco Chirico
- Post-graduate School of Occupational health, Università Cattolica del Sacro Cuore, Rome, Italy. .,Health Service Department, Italian State Police, Ministry of the Interior, Milan, Italy.
| | - Zubaid Rafique
- Henry JN Taub Department of Emergency Medicine, Baylor College of Medicine, Houston, TX, United States
| | | | - Aleksandra Gasecka
- Laboratory of Experimental Clinical Chemistry, Amsterdam University Medical Center, Amsterdam, the Netherlands
| | - Nataliia Litvinova
- European Medical School, International European University, Kiev, Ukraine
| | - Benjamin Wang
- UC Davis Graduate School of Management, Davis, CA, USA
| | - Olayinka Ilesanmi
- Department of Community Medicine, College of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria.,Department of Community Medicine, College of Medicine, University College Hospital, Ibadan, Oyo State, Nigeria
| | - Michal Pruc
- Polish Society of Disaster Medicine, Warsaw, Poland
| | | | - Lukasz Szarpak
- Institute of Outcomes Research, Maria Sklodowska-Curie Medical Academy, Warsaw, Poland.,Polish Society of Disaster Medicine, Warsaw, Poland.,Research Unit, Maria Sklodowska-Curie Bialystok Oncology Center, Bialystok, Poland
| |
Collapse
|
35
|
Bielski K, Smereka J, Chmielewski J, Pruc M, Chirico F, Gasecka A, Litvinova N, Jaguszewski MJ, Nowak-Starz G, Rafique Z, Peacock FW, Szarpak L. Meta-analysis of chest compression-only versus conventional cardiopulmonary resuscitation by bystanders for adult with out-of-hospital cardiac arrest. Cardiol J 2021; 30:606-613. [PMID: 34622436 PMCID: PMC10508072 DOI: 10.5603/cj.a2021.0115] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2021] [Accepted: 08/02/2021] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND According to the guidelines of cardiopulmonary resuscitation (CPR) conducted by bystanders, two methods of CPR are feasible: standard CPR (sCPR) with mouth-to-mouth ventilations and continuous chest compression-only CPR (CCC) without rescue breathing. The goal herein, was to evaluate the effect of sCPR (30:2) and CCC on resuscitation outcomes in patients with out-of-hospital cardiac arrest (OHCA) patients. METHODS This study was a systematic review and meta-analysis. Using standardized criteria, Pub- Med, Web of Science, Scopus, EMBASE and Cochrane Collaboration were searched for trials assessing the effect of sCPR vs. CCC on resuscitation outcomes after adult OHCA. Random-effects model meta-analysis was applied to calculate the mean deviation (MD), odds ratio (OR) and 95% confidence interval (CI). RESULTS Overall, 3 randomized controlled trials and 12 non-randomized trials met the inclusion criteria. Survival to hospital discharge with sCPR was 10.2% compared to 9.3% in the CCC group (OR = 1.04; 95% CI: 0.93-1.16; p = 0.46). Survival to hospital discharge with good neurological outcome measured with the cerebral performance category (CPC 1 or 2) was 6.5% for sCPR vs. 5.8% for CCC (OR = 1.00; 95% CI: 0.84-1.20; p = 0.98). Prehospital return of spontaneous circulation (ROSC) in sCPR and CCC groups was 15.9% and 14.8%, respectively (OR = 1.13; 95% CI: 0.91-1.39; p = 0.26). Survival to hospital admission with ROSC occurred in 29.5% of the sCPR group compared to 28.4% in CCC group (OR = 1.20; 95% CI: 0.89-1.63; p = 0.24). CONCLUSIONS This systematic review and meta-analysis concluded that there were no significant differences in the resuscitation outcomes between the use of standard cardiopulmonary resuscitation and chest compression only.
Collapse
Affiliation(s)
- Karol Bielski
- Institute of Outcomes Research, Polonia Academy, Czestochowa, Poland
- Polish Society of Disaster Medicine, Warsaw, Poland
| | - Jacek Smereka
- Polish Society of Disaster Medicine, Warsaw, Poland
- Department of Emergency Medical Service, Medical University of Wroclaw, Poland
| | | | - Michal Pruc
- Polish Society of Disaster Medicine, Warsaw, Poland
- Institute of Outcomes Research, Polonia Academy, Czestochowa, Poland
| | - Francesco Chirico
- Postgraduate School of Occupational Medicine, Università Cattolica del Sacro Cuore, Rome, Italy
- Health Service Department, State Police, Ministry of Interior, Milan, Italy
| | - Aleksandra Gasecka
- Laboratory of Experimental Clinical Chemistry, Amsterdam University Medical Center, Amsterdam, the Netherlands
- 1st Chair and Department of Cardiology, Medical University of Warsaw, Poland
| | - Nataliia Litvinova
- European Medical School, International European University, Kiev, Ukraine
| | | | - Grazyna Nowak-Starz
- Collegium Medicum Institute of Health Sciences, Kochanowski University, Kielce, Poland
| | - Zubaid Rafique
- Henry JN Taub Department of Emergency Medicine, Baylor College of Medicine Houston, TX, United States
| | - Frank W Peacock
- Henry JN Taub Department of Emergency Medicine, Baylor College of Medicine Houston, TX, United States
| | - Lukasz Szarpak
- Maria Sklodowska-Curie Medical Academy, Warsaw, Poland.
- Maria Sklodowska-Curie Bialystok Oncology Center, Bialystok, Poland.
- Polish Society of Disaster Medicine, Warsaw, Poland.
| |
Collapse
|
36
|
Chirico F, Bramstedt KA. Authorship commerce: Bylines for sale. Account Res 2021; 30:246-251. [PMID: 34569373 DOI: 10.1080/08989621.2021.1982705] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
Scholarly authorship confers recognition and prestige and is used for promotion and tenure. In this commentary, the authors discuss a form of guest authorship known as authorship commerce (AC). This is an extreme example of misconduct, linked to bribery, which is potentially underestimated because it is difficult to detect. Pressure to publish in high impact factor open access journals (with often high publishing fees), combined with funding policy constraints, can facilitate AC. Proactive solutions include giving junior researchers more awareness of the unethical behavior, explicit guidelines that forbit it, author declarations, ethical publication incentives and metrics, lower publishing fees, as well as more effective fee discount and waiver programs. Anonymous and protected whistleblowing channels can be used to report AC.
Collapse
Affiliation(s)
- Francesco Chirico
- Post-graduate School of Occupational Health, Università Cattolica Del Sacro Cuore, Rome, Italy.,Centro Sanitario Polifunzionale Di Milano, Health Service Department, Italian State Police, Ministry of the Interior, Milan, Italy
| | - Katrina Andrea Bramstedt
- Bond University Medical Program, Gold Coast, Queensland, Australia.,Clarity Ethics, Kew, Victoria, Australia
| |
Collapse
|
37
|
Rafique Z, Szarpak L, Chirico F, Szarpak Ł. Airway management in personal protective equipment conditions. Adv Respir Med 2021; 89:554-555. [PMID: 34553367 DOI: 10.5603/arm.a2021.0078] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2021] [Accepted: 08/05/2021] [Indexed: 11/25/2022]
Affiliation(s)
- Zubaid Rafique
- Henry JN Taub Department of Emergency Medicine, Baylor College of Medicine, Houston, TX, United States
| | - Luiza Szarpak
- Institute of Outcomes Research, Polonia University, Częstochowa, Poland
| | - Francesco Chirico
- Post-graduate School of Occupational Health, Università Cattolica del Sacro Cuore, Roma, Italia.,Health Service Department, Italian State Police, Ministry of the Interior, Milano, Italy
| | - Łukasz Szarpak
- Institute of Outcomes Research, Maria Sklodowska-Curie Medical Academy, Warsaw, Poland. .,Maria Sklodowska-Curie Bialystok Oncology Center, Bialystok, Poland.
| |
Collapse
|
38
|
Nucera G, Chirico F, Raffaelli V, Marino P. Current challenges in COVID-19 diagnosis: a narrative review and implications for clinical practice. Ital J Med 2021. [DOI: 10.4081/itjm.2021.1474] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Early diagnosis of coronavirus disease 2019 (COVID-19) is crucial to early treatment and quarantine measures. In this narrative review, diagnostic tools for COVID-19 diagnosis and their main critical issues were reviewed. The COVID-19 real-time reverse transcriptase-polymerase chain reaction (RT-PCR) test is considered the gold standard test for the qualitative and quantitative detection of viral nucleic acid. In contrast, tests can be used for epidemiological surveys on specific communities, including occupational cohorts, but not for clinical diagnosis as a substitute for swab tests. Computed tomography (CT) scans can be useful for the clinical diagnosis of COVID-19, especially in symptomatic cases. The imaging features of COVID-19 are diverse and depend on the stage of infection after the onset of symptoms. CT sensitivity seems to be higher in patients with positive RT-PCR. Conventional chest sensitivity shows a lower sensitivity. An important diagnostic screening tool is ultrasounds, whose specificity and sensitivity depend on disease severity, patient weight, and operator skills. Nevertheless, ultrasounds could be useful as a screening tool in combination with clinical features and molecular testing to monitor disease progression. Clinical symptoms and non-specific laboratory findings may be useful if used in combination with RT-PCR test and CT-scanning.
Collapse
|
39
|
Chirico F, Magnavita N. Predatory publishing and journals: how to address a profitable and ubiquitous business. Acta Neurochir (Wien) 2021; 163:2391-2392. [PMID: 33389117 DOI: 10.1007/s00701-020-04684-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2020] [Accepted: 12/14/2020] [Indexed: 12/17/2022]
Affiliation(s)
- F Chirico
- Post-graduate School of Occupational Health, Occupational Unit of the Department of Woman/Child and Public Health, Università Cattolica del Sacro Cuore, Largo F. Vito 1, 00168, Roma, Italy.
| | - N Magnavita
- Post-graduate School of Occupational Health, Department of Woman/Child and Public Health, Università Cattolica del Sacro Cuore. Fondazione Policlino "A Gemelli", IRCSS, Largo F. Vito 1, 00168, Rome, Italy
| |
Collapse
|
40
|
Szarpak L, Rafique Z, Gasecka A, Chirico F, Gawel W, Hernik J, Kaminska H, Filipiak KJ, Jaguszewski MJ, Szarpak L. A systematic review and meta-analysis of effect of vitamin D levels on the incidence of COVID-19. Cardiol J 2021; 28:647-654. [PMID: 34308537 PMCID: PMC8428943 DOI: 10.5603/cj.a2021.0072] [Citation(s) in RCA: 19] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2021] [Revised: 06/04/2021] [Accepted: 06/04/2021] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND Coronavirus disease 2019 (COVID-19) is a disease primarily affecting the respiratory tract, however due to the nature of the pathogenesis it is able to affect the whole body. So far, no causative treatment has been found and the main strategy when dealing with COVID-19 relies on widespread vaccination programs and symptomatic treatment. Vitamin D due to its ability to modulate the immunological system has been proposed as a factor playing role in the organism response to the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. Therefore, we decided to perform this meta-analysis which aimed to establish a connection between vitamin D status and COVID-19 infection. METHODS Study was designed as a systematic review and meta-analysis. PubMed, EMBASE, Web of Science, Cochrane Collaboration Databases and Scopus electronic databases were searched for relevant studies from database inception to May 10th, 2021. Mean differences (MDs) with their 95% confidence intervals (CI) were calculated. RESULTS Thirteen studies providing data for 14,485 participants met the inclusion criteria. Mean vitamin D levels in SARS-CoV-2 negative patients was 17.7 ± 6.9 ng/mL compared to SARS-CoV-2 positive patients 14.1 ± 8.2 ng/mL (MD = 3.93; 95% CI 2.84-5.02; I2 = 99%; p < 0.001). CONCLUSIONS Low serum vitamin D levels are statistically significantly associated with the risk of COVID-19 infection. Supplementation of vitamin D especially in the deficiency risk groups is indicated.
Collapse
Affiliation(s)
- Luiza Szarpak
- Institute of Outcomes R esearch, Polonia University, Czestochowa, Poland
| | - Zubaid Rafique
- Henry JN Taub Department of Emergency Medicine, Baylor College of Medicine, Houston, TX, United States
| | - Aleksandra Gasecka
- 1st Chair and Department of Cardiology, Medical University of Warsaw, Poland
- Department of Cardiology, University Medical Center Utrecht, The Netherlands
| | - Francesco Chirico
- Post-graduate School of Occupational Health, Università Cattolica del Sacro Cuore, Rome, Italy
- Health Service Department, Italian State Police, Ministry of the Interior, Milano, Italy
| | - Wladyslaw Gawel
- Department of Surgery, The Silesian Hospital in Opava, Czech Republic
- Polish Society of Disaster Medicine, Warsaw, Poland
| | - Jacek Hernik
- Maria Sklodowska-Curie Medical Academy, Warsaw, Poland
| | - Halla Kaminska
- Polish Society of Disaster Medicine, Warsaw, Poland
- Department of Pediatrics and Children's Diabetology, Faculty of Medical Sciences in Katowice, Medical University of Silesia, Zabrze, Poland
| | | | | | - Lukasz Szarpak
- Maria Sklodowska-Curie Medical Academy, Warsaw, Poland.
- Maria Sklodowska-Curie Bialystok Oncology Center, Bialystok, Poland.
| |
Collapse
|
41
|
Chirico F, Nucera G, Szarpak L. COVID-19 mortality in Italy: The first wave was more severe and deadly, but only in Lombardy region. J Infect 2021; 83:e16. [PMID: 33992688 PMCID: PMC8118717 DOI: 10.1016/j.jinf.2021.05.006] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2021] [Accepted: 05/08/2021] [Indexed: 02/07/2023]
Affiliation(s)
- Francesco Chirico
- Post-graduate School of Occupational Health, Università Cattolica del Sacro Cuore, Rome, Italy; Health Service Department, Italian State Police, Milan, Italy.
| | - Gabriella Nucera
- Fatebenefratelli Hospital, ASST Fatebenefratelli and Sacco, University of Milano, Milan, Italy
| | - Lukasz Szarpak
- Institute of Outcomes Research, Maria Sklodowska-Curie Medical Academy, Warsaw, Poland; Maria Sklodowska-Curie Bialystok Oncology Center, Bialystok, Poland
| |
Collapse
|
42
|
Affiliation(s)
- Nicola Magnavita
- Postgraduate School of Occupational Health, Università Cattolica del Sacro Cuore, Rome, Italy; Occupational Health Section of the Department of Science of Woman, Child and Public Health, Fondazione Policlinico Gemelli IRCCS, Rome, Italy
| | - Francesco Chirico
- Postgraduate School of Occupational Health, Università Cattolica del Sacro Cuore, Rome, Italy; Health Service Department, State Police, Ministry of Interior, Milan 20162, Italy.
| | - Angelo Sacco
- Postgraduate School of Occupational Health, Università Cattolica del Sacro Cuore, Rome, Italy
| |
Collapse
|
43
|
Magnavita N, Chirico F, Garbarino S, Bragazzi NL, Santacroce E, Zaffina S. SARS/MERS/SARS-CoV-2 Outbreaks and Burnout Syndrome among Healthcare Workers. An Umbrella Systematic Review. Int J Environ Res Public Health 2021; 18:4361. [PMID: 33924026 PMCID: PMC8072681 DOI: 10.3390/ijerph18084361] [Citation(s) in RCA: 76] [Impact Index Per Article: 25.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/10/2021] [Revised: 04/10/2021] [Accepted: 04/17/2021] [Indexed: 01/17/2023]
Abstract
The coronavirus-19 (COVID-19) pandemic is putting a severe strain on all healthcare systems. Several occupational risk factors are challenging healthcare workers (HCWs) who are at high risk of mental health outcomes, including Burnout Syndrome (BOS). BOS is a psychological syndrome characterized by emotional exhaustion, depersonalization, and low personal accomplishment. An umbrella review of systematic reviews and meta-analyses concerning BOS and coronavirus (SARS/MERS/SARS-CoV-2) outbreaks was carried out on PubMed Central/Medline, Cochrane Library, PROSPERO, and Epistemonikos databases. Data relating to COVID-19 is insufficient, but in previous SARS and MERS outbreaks about one-third of HCWs manifested BOS. This prevalence rate is similar to the figure recorded in some categories of HCWs exposed to chronic occupational stress and poor work organization during non-epidemic periods. Inadequate organization and worsening working conditions during an epidemic appear to be the most likely causes of BOS. Preventive care and workplace health promotion programs could be useful for protecting healthcare workers during pandemics, as well as during regular health activities.
Collapse
Affiliation(s)
- Nicola Magnavita
- Post-Graduate School of Occupational Medicine, Università Cattolica del Sacro Cuore, 00168 Rome, Italy; (N.M.); (S.G.); (E.S.)
- Department of Woman/Child and Public Health, Fondazione Policlinico “A. Gemelli” IRCCS, 00168 Rome, Italy
| | - Francesco Chirico
- Post-Graduate School of Occupational Medicine, Università Cattolica del Sacro Cuore, 00168 Rome, Italy; (N.M.); (S.G.); (E.S.)
- Health Service Department, State Police, Ministry of Interior, 20125 Milan, Italy
| | - Sergio Garbarino
- Post-Graduate School of Occupational Medicine, Università Cattolica del Sacro Cuore, 00168 Rome, Italy; (N.M.); (S.G.); (E.S.)
- Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Mother and Child Health (DINOGMI), University of Genoa, 16132 Genoa, Italy
| | - Nicola Luigi Bragazzi
- Laboratory for Industrial and Applied Mathematics (LIAM), Department of Mathematics and Statistics, York University, 4700 Keele Street, Toronto, ON M3J 1P3, Canada;
| | - Emiliano Santacroce
- Post-Graduate School of Occupational Medicine, Università Cattolica del Sacro Cuore, 00168 Rome, Italy; (N.M.); (S.G.); (E.S.)
- Workplace Prevention and Safety Service, Local Sanitary Unit Roma 5, 00012 Guidonia Montecelio, Italy
| | - Salvatore Zaffina
- Occupational Health Unit, Medical Direction, Bambino Gesù Children’s Hospital IRCCS, 00165 Rome, Italy;
| |
Collapse
|
44
|
|
45
|
Chirico F, Crescenzo P, Sacco A, Riccò M, Ripa S, Nucera G, Magnavita N. Prevalence of burnout syndrome among Italian volunteers of the Red Cross: a cross-sectional study. Ind Health 2021; 59:117-127. [PMID: 33473066 PMCID: PMC8010165 DOI: 10.2486/indhealth.2020-0246] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/29/2020] [Accepted: 01/14/2021] [Indexed: 06/01/2023]
Abstract
Burnout syndrome (BOS) is a work-related constellation of symptoms characterized by emotional exhaustion, depersonalization, and personal accomplishment. A cross-sectional survey was performed to study the prevalence of BOS among a randomly selected sample of 280 Italian Red Cross volunteers. A socio-demographic questionnaire and the Maslach Burnout Inventory (MBI)-HSS were used to collect data. 241 volunteers participated (response rate: 86.1%). A significant proportion of the workers had BOS subscale scores in the highest tertile: emotional exhaustion 8.0%, depersonalization 35.9% and perceived lack of accomplishment 23.5%, respectively. Volunteers in emergency care reported higher levels of emotional exhaustion (p=0.004) and depersonalization (p=0.001), and lower level of personal accomplishment (p=0.042) than volunteers engaged in non-healthcare social and administrative duties. These findings support the opportunity of a set of administrative, organizational and individual preventive interventions for emergency volunteers' mental health.
Collapse
Affiliation(s)
- Francesco Chirico
- Post-graduate School of Occupational Health, Università Cattolica del Sacro Cuore, Italy
- Health Service Department, State Police, Ministry of Interior, Italy
| | - Pietro Crescenzo
- Italian Red Cross Voluntary Military Corp, Psychological Activities Unit (NAP), Ministry of Defense, Italy
| | - Angelo Sacco
- Post-graduate School of Occupational Health, Università Cattolica del Sacro Cuore, Italy
- Local Healthcare Unit Roma 2, Italy
| | - Matteo Riccò
- Dipartimento di Prevenzione, AUSL-IRCCS di Reggio Emilia, Italy
| | | | - Gabriella Nucera
- Department of Emergency, Fatebenefratelli Hospital, ASST Fatebenefratelli and Sacco, Italy
| | - Nicola Magnavita
- Post-graduate School of Occupational Health, Università Cattolica del Sacro Cuore, Italy
- Department of Woman/Child & Public Health, Fondazione Policlinico A. Gemelli IRCCS, Italy
| |
Collapse
|
46
|
Chirico F, Nucera G, Sacco A, Magnavita N. Proper respirators use is crucial for protecting both emergency first aid responder and casualty from COVID-19 and airborne-transmitted infections. Adv Respir Med 2021; 89:99-100. [PMID: 33660253 DOI: 10.5603/arm.a2021.0028] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2021] [Accepted: 01/23/2021] [Indexed: 11/25/2022]
Affiliation(s)
- Francesco Chirico
- Post-graduate School of Occupational Health, Università Cattolica del Sacro Cuore, Roma, Italy.
| | - Gabriella Nucera
- ASST Fatebenefratelli and Sacco, Fatebenefratelli Hospital, Department of Emergency, Corso di Porta Nuova, Milano, Italy
| | - Angelo Sacco
- Post-graduate School of Occupational Health, Università Cattolica del Sacro Cuore, Roma, Italy
| | - Nicola Magnavita
- Post-graduate School of Occupational Health, Università Cattolica del Sacro Cuore, Roma, Italy
| |
Collapse
|
47
|
Abstract
PurposeThis paper describes how Italy addressed the first Coronavirus disease 2019 (COVID-19) wave and analyzes the possible causes of the current second wave.Design/methodology/approachDescriptive analysis of critical points and differences in the containment strategies between the first and the second waves in Italy.FindingsItaly's strict lockdown has been credited with getting the initial major outbreak under control. Furthermore, the way Italy handled the first wave was considered a lesson for other countries. On the contrary, a decentralized and highly bureaucratic political system with low coordination and political conflicts between government, regions and stakeholders led to a relaxation of individual health behaviors, poor and conflicting communication to the general public, poor management of the public transport and the reopening of schools and companies after the summer, that in turn generated the second wave, which is showing signs of becoming worse than the first.Originality/valueThis is a commentary piece.
Collapse
|
48
|
Chirico F, Bragazzi NL. Declaration of conflict of interest for reviewers in time of COVID-19 should be mandatory. Perspect Clin Res 2021; 12:60-61. [PMID: 33816212 PMCID: PMC8011524 DOI: 10.4103/picr.picr_363_20] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2020] [Accepted: 12/02/2020] [Indexed: 11/17/2022] Open
Affiliation(s)
- Francesco Chirico
- Post-graduate School of Occupational Health, Università Cattolica del Sacro Cuore, Rome.,Department of Health Service, Italian State Police, Centro Sanitario Polifunzionale di Milan, Italy
| | - Nicola Luigi Bragazzi
- Department of Mathematics and Statistics, Laboratory for Industrial and Applied Mathematics, York University, Toronto, ON, Canada
| |
Collapse
|
49
|
Affiliation(s)
- Nicola Magnavita
- Department of Life Sciences and Public Health, Post-graduate School of Occupational Health, Università Cattolica del Sacro Cuore, Roma, Italy.,Department of Woman/Child and Public Health, Fondazione Policlinico A. Gemelli IRCCS, Roma, Italy
| | - Angelo Sacco
- Department of Life Sciences and Public Health, Post-graduate School of Occupational Health, Università Cattolica del Sacro Cuore, Roma, Italy.,Local Healthcare Unit Roma 2, Roma, Italy
| | - Gabriella Nucera
- Department of Medicine, ASST Fatebenefratelli and Sacco. Fatebenefratelli Hospital, Emergency Unit, Milan, Italy
| | - Francesco Chirico
- Department of Life Sciences and Public Health, Post-graduate School of Occupational Health, Università Cattolica del Sacro Cuore, Roma, Italy.,Health Service Department, State Police, Ministry of Interior, Italy
| |
Collapse
|
50
|
Abstract
In this letter to the editor, the authors tell their personal experience in the fight against Coronavirus pandemic and call for more spirituality needed to battle in the COVID-19 emergency. They commemorate the story of many Italian priests who have died in this tragedy and claim that spiritual skills for healthcare workers are especially important in a disaster scenario like this COVID 19 pandemic, to relieve stress and psychic sufferance of the same healthcare professionals as well as of patients and their families.
Collapse
Affiliation(s)
- Francesco Chirico
- Post-graduate School of Occupational Medicine, Università Cattolica del Sacro Cuore, Rome, Italy.
- Health Service Department, State Police, Ministry of Interior, Via Umberto Cagni, 21, 20162, Milan, Italy.
| | - Gabriella Nucera
- Faculty of Nursing, University of Milan, Milan, Italy
- ASST Fatebenefratelli and Sacco, FatebeneFratelli Hospital, Milan, Italy
| |
Collapse
|