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Lami A, Alvisi S, Siconolfi A, Seracchioli R, Meriggiola MC. Primary and secondary prevention of cervical cancer among Italian AFAB transgender people. Curr Probl Cancer 2024; 50:101103. [PMID: 38744064 DOI: 10.1016/j.currproblcancer.2024.101103] [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: 03/17/2024] [Revised: 04/18/2024] [Accepted: 04/30/2024] [Indexed: 05/16/2024]
Abstract
OBJECTIVE Currently, available data on preventive measures for Human Papillomavirus (HPV) infection and cervical cancer in the transgender assigned female at birth (AFAB) community are extremely limited. Our aim was to analyze adherence to primary and secondary cervical cancer prevention screening programs among transgender AFAB people attending our gender clinic. METHODS Transgender AFAB people attending our center were recruited. Anamnestic data were collected for each person through completion of a medical history form and medical records. Variables recorded included previous HPV vaccination, adherence to regional screening programs (Pap smear or HPV DNA test), subject age, duration of current or prior gender-affirming hormone therapy (GAHT) and whether gender affirmation surgery (GAS) with hysterectomy had been performed. Open questions regarding reasons for not undergoing screening tests were also included. RESULTS In this cross-sectional study, 263 AFAB transgender people were included, with a mean age of 30.6 ± 10.5 years. GAS with hysterectomy had been performed on 37.6 % of these people. Of our participants, 71.7 % who were born after 1998 (the first cohort to receive HPV vaccination invitations in Italy) had been vaccinated for HPV. Seventy-four-point-nine percent of participants who were still eligible for cervical screening had never undergone Pap smear or HPV DNA testing, whereas those who had undergone at least one cervical screening had done so on average 4.2 ± 4.5 years ago. CONCLUSION HPV vaccination prevalence in the AFAB transgender population born after 1998 is in line with the Italian AFAB general population. However, adherence to cervical cancer screening programs in the transgender AFAB population appears to be lower in comparison to the cisgender population. Further efforts are required from the medical community to enhance AFAB transgender people's adherence to HPV vaccination and to cervical screening.
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Affiliation(s)
- Alessandra Lami
- Gynecology and Physiopathology of Human Reproduction, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Via Massarenti 13, 40138 Bologna, Italy; Department of Medical and Surgical Sciences, Alma Mater Studiorum University of Bologna, Bologna, Italy.
| | - Stefania Alvisi
- Gynecology and Physiopathology of Human Reproduction, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Via Massarenti 13, 40138 Bologna, Italy; Department of Medical and Surgical Sciences, Alma Mater Studiorum University of Bologna, Bologna, Italy
| | - Arianna Siconolfi
- Gynecology and Physiopathology of Human Reproduction, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Via Massarenti 13, 40138 Bologna, Italy; Department of Medical and Surgical Sciences, Alma Mater Studiorum University of Bologna, Bologna, Italy
| | - Renato Seracchioli
- Gynecology and Physiopathology of Human Reproduction, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Via Massarenti 13, 40138 Bologna, Italy; Department of Medical and Surgical Sciences, Alma Mater Studiorum University of Bologna, Bologna, Italy
| | - Maria Cristina Meriggiola
- Gynecology and Physiopathology of Human Reproduction, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Via Massarenti 13, 40138 Bologna, Italy; Department of Medical and Surgical Sciences, Alma Mater Studiorum University of Bologna, Bologna, Italy
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Htun YM, Maung NL, Ko DK, Htut HM, Phyo MK, Aung WL, Zaw HK, Min AK, Kyaw AP, Swe T, Zaw KK, Win KSN, Ko KK, Thaw KM, Aung SP, Aung SY, Htun SS, Paing SH, Htun SL, Naing ZM, Htun ZK, Naung H, Oo HH, Hla NY, San AK, Myat HM, Htet PS, Mon MK, Paing YM, Phyo WL, Paing WK, Rein T, Oo TL, Zaw TP, Oo TL, Thu TM, Aung TT, Soe HH, Soe AK, Oo AM, Aung A, Aung PP, Kyaw HA, Kyaw HP, Soe YNM, Ko MM, Aung ZK, Aung KT, Lwin YPC, Yan W, Soe PT, Htet ZL, Sint NH, Aung Z, Winn ZT, Thu KS, Shan NH, Htun NS, Win TT, Tun KM. Adherence to COVID-19 preventive measures among residents in selected townships, Yangon Region, Myanmar: a community-based cross-sectional study. Trop Med Health 2024; 52:36. [PMID: 38734710 PMCID: PMC11088027 DOI: 10.1186/s41182-024-00603-6] [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: 03/15/2024] [Accepted: 05/02/2024] [Indexed: 05/13/2024] Open
Abstract
BACKGROUND To fight the current coronavirus disease (COVID-19) pandemic, many countries have implemented various mitigation measures to contain the spread of the disease. By engaging with health service providers, the community's participation in adherence to preventive measures is certainly required in the implementation of COVID-19 mitigation strategies. Therefore, this study aimed to assess the level of adherence to COVID-19 preventive measures and its associated factors among the residents, Yangon Region, Myanmar. METHODS A community-based cross-sectional study was carried out among 636 residents in Yangon Region, Myanmar, from October to December 2021. A multistage non-probability sampling method, purposively selected for three townships in Yangon Region and convenience sampling for 212 participants from each township, was applied and the data were collected by face-to-face interviews using structured and pretested questionnaires. Data were entered, coded, and analyzed using IBM SPSS version 25.0. Simple and multiple logistic regression analysis were performed to identify the significant variables of adherence to COVID-19 preventive measures. RESULTS As a level of adherence to COVID-19 preventive measures, the proportion of residents who had good adherence was 39.3% (95% CI 35.5-43.2%), moderate adherence was 37.6% (95% CI 33.8-41.5%), and poor adherence was 23.1% (95% CI 19.9-26.6%). The age group of 31-40 years (AOR: 3.13, 95% CI 1.62-6.05), 30 years and younger (AOR: 3.22, 95% CI 1.75-5.92), Burmese ethnicity (AOR: 2.52, 95% CI 1.44-4.39), own business (AOR: 3.19, 95% CI 1.15-8.87), high school education level and below (AOR: 1.64, 95% CI 1.02-2.69), less than 280.90 USD of monthly family income (AOR: 1.51, 95% CI 1.01-2.29), low knowledge about COVID-19 (AOR: 1.90, 95% CI 1.26-2.88) were significantly associated with poor adherence to COVID-19 preventive measures. CONCLUSIONS In this study, nearly one-fourth of the residents were experiencing poor adherence to COVID-19 preventive measures. Therefore, building up the risk communication through the community using widely used mainstream media, the continuation of disease surveillance and announcement of updated information or advice for the public to increase awareness towards COVID-19, and enforcement to follow the recommended directions and regulations of health institutions are vital to consider for improving the adherence to preventive measures against COVID-19 among the residents.
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Affiliation(s)
- Ye Minn Htun
- Department of Prevention and Research Development of Hepatitis, AIDS and Other Viral Diseases, Health and Disease Control Unit, Nay Pyi Taw, 15011, Myanmar.
| | - Nyan Lin Maung
- Department of Research and Development, Defence Services Medical School, Yangon, Myanmar
| | - Dwe Kyaw Ko
- Department of Preventive and Social Medicine, Defence Services Medical Academy, Yangon, Myanmar
| | - Han Myo Htut
- Department of Preventive and Social Medicine, Defence Services Medical Academy, Yangon, Myanmar
| | - Min Khant Phyo
- Department of Preventive and Social Medicine, Defence Services Medical Academy, Yangon, Myanmar
| | - Wai Lynn Aung
- Department of Preventive and Social Medicine, Defence Services Medical Academy, Yangon, Myanmar
| | - Hein Khant Zaw
- Department of Preventive and Social Medicine, Defence Services Medical Academy, Yangon, Myanmar
| | - Aung Kyaw Min
- Department of Preventive and Social Medicine, Defence Services Medical Academy, Yangon, Myanmar
| | - Aung Phyo Kyaw
- Department of Preventive and Social Medicine, Defence Services Medical Academy, Yangon, Myanmar
| | - Thet Swe
- Department of Preventive and Social Medicine, Defence Services Medical Academy, Yangon, Myanmar
| | - Kaung Khant Zaw
- Department of Preventive and Social Medicine, Defence Services Medical Academy, Yangon, Myanmar
| | - Kyaw Swar Naing Win
- Department of Preventive and Social Medicine, Defence Services Medical Academy, Yangon, Myanmar
| | - Khant Ko Ko
- Department of Preventive and Social Medicine, Defence Services Medical Academy, Yangon, Myanmar
| | - Khant Min Thaw
- Department of Preventive and Social Medicine, Defence Services Medical Academy, Yangon, Myanmar
| | - Saw Pyae Aung
- Department of Preventive and Social Medicine, Defence Services Medical Academy, Yangon, Myanmar
| | - Saw Yan Aung
- Department of Preventive and Social Medicine, Defence Services Medical Academy, Yangon, Myanmar
| | - Soe San Htun
- Department of Preventive and Social Medicine, Defence Services Medical Academy, Yangon, Myanmar
| | - Soe Htet Paing
- Department of Preventive and Social Medicine, Defence Services Medical Academy, Yangon, Myanmar
| | - Soe Lin Htun
- Department of Preventive and Social Medicine, Defence Services Medical Academy, Yangon, Myanmar
| | - Zaw Myo Naing
- Department of Preventive and Social Medicine, Defence Services Medical Academy, Yangon, Myanmar
| | - Zin Ko Htun
- Department of Preventive and Social Medicine, Defence Services Medical Academy, Yangon, Myanmar
| | - Htoo Naung
- Department of Preventive and Social Medicine, Defence Services Medical Academy, Yangon, Myanmar
| | - Htun Htun Oo
- Department of Preventive and Social Medicine, Defence Services Medical Academy, Yangon, Myanmar
| | - Naing Ye Hla
- Department of Preventive and Social Medicine, Defence Services Medical Academy, Yangon, Myanmar
| | - Aung Kyaw San
- Department of Preventive and Social Medicine, Defence Services Medical Academy, Yangon, Myanmar
| | - Hpone Myint Myat
- Department of Preventive and Social Medicine, Defence Services Medical Academy, Yangon, Myanmar
| | - Phone Shan Htet
- Department of Preventive and Social Medicine, Defence Services Medical Academy, Yangon, Myanmar
| | - Min Khant Mon
- Department of Preventive and Social Medicine, Defence Services Medical Academy, Yangon, Myanmar
| | - Ye Myat Paing
- Department of Preventive and Social Medicine, Defence Services Medical Academy, Yangon, Myanmar
| | - Wai Lin Phyo
- Department of Preventive and Social Medicine, Defence Services Medical Academy, Yangon, Myanmar
| | - Win Khant Paing
- Department of Preventive and Social Medicine, Defence Services Medical Academy, Yangon, Myanmar
| | - Thu Rein
- Department of Preventive and Social Medicine, Defence Services Medical Academy, Yangon, Myanmar
| | - Thit Lwin Oo
- Department of Preventive and Social Medicine, Defence Services Medical Academy, Yangon, Myanmar
| | - Thet Paing Zaw
- Department of Preventive and Social Medicine, Defence Services Medical Academy, Yangon, Myanmar
| | - Thet Lynn Oo
- Department of Preventive and Social Medicine, Defence Services Medical Academy, Yangon, Myanmar
| | - Thint Myat Thu
- Department of Preventive and Social Medicine, Defence Services Medical Academy, Yangon, Myanmar
| | - Than Toe Aung
- Department of Preventive and Social Medicine, Defence Services Medical Academy, Yangon, Myanmar
| | - Hein Htet Soe
- Department of Preventive and Social Medicine, Defence Services Medical Academy, Yangon, Myanmar
| | - Aung Kyaw Soe
- Department of Preventive and Social Medicine, Defence Services Medical Academy, Yangon, Myanmar
| | - Aung Myint Oo
- Department of Preventive and Social Medicine, Defence Services Medical Academy, Yangon, Myanmar
| | - Aung Aung
- Department of Preventive and Social Medicine, Defence Services Medical Academy, Yangon, Myanmar
| | - Pyae Phyo Aung
- Department of Preventive and Social Medicine, Defence Services Medical Academy, Yangon, Myanmar
| | - Htun Aung Kyaw
- Department of Preventive and Social Medicine, Defence Services Medical Academy, Yangon, Myanmar
| | - Hpone Pji Kyaw
- Department of Preventive and Social Medicine, Defence Services Medical Academy, Yangon, Myanmar
| | - Yan Naing Myint Soe
- Department of Prevention and Research Development of Hepatitis, AIDS and Other Viral Diseases, Health and Disease Control Unit, Nay Pyi Taw, 15011, Myanmar
| | - Myint Myat Ko
- Department of Preventive and Social Medicine, Defence Services Medical Academy, Yangon, Myanmar
| | - Zin Ko Aung
- Department of Preventive and Social Medicine, Defence Services Medical Academy, Yangon, Myanmar
| | - Kyaw Thiha Aung
- Department of Prevention and Research Development of Hepatitis, AIDS and Other Viral Diseases, Health and Disease Control Unit, Nay Pyi Taw, 15011, Myanmar
| | - Yan Paing Chit Lwin
- Department of Preventive and Social Medicine, Defence Services Medical Academy, Yangon, Myanmar
| | - Wai Yan
- Department of Preventive and Social Medicine, Defence Services Medical Academy, Yangon, Myanmar
| | - Phyo Tayza Soe
- Department of Preventive and Social Medicine, Defence Services Medical Academy, Yangon, Myanmar
| | - Zin Linn Htet
- Department of Prevention and Research Development of Hepatitis, AIDS and Other Viral Diseases, Health and Disease Control Unit, Nay Pyi Taw, 15011, Myanmar
| | - Nay Hein Sint
- Department of Preventive and Social Medicine, Defence Services Medical Academy, Yangon, Myanmar
| | - Zayar Aung
- Department of Prevention and Research Development of Hepatitis, AIDS and Other Viral Diseases, Health and Disease Control Unit, Nay Pyi Taw, 15011, Myanmar
| | - Zin Thu Winn
- Department of Prevention and Research Development of Hepatitis, AIDS and Other Viral Diseases, Health and Disease Control Unit, Nay Pyi Taw, 15011, Myanmar
| | - Kaung Si Thu
- Department of Prevention and Research Development of Hepatitis, AIDS and Other Viral Diseases, Health and Disease Control Unit, Nay Pyi Taw, 15011, Myanmar
| | - Nyan Htet Shan
- Outpatient Department, No. 1 Military Hospital (500 Bedded), Meiktila, Mandalay, Myanmar
| | - Nyan Sint Htun
- Department of Preventive and Social Medicine, Defence Services Medical Academy, Yangon, Myanmar
| | - Tun Tun Win
- Department of Preventive and Social Medicine, Defence Services Medical Academy, Yangon, Myanmar
| | - Kyaw Myo Tun
- Department of Preventive and Social Medicine, Defence Services Medical Academy, Yangon, Myanmar
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Redondo E, Rivero-Calle I, Mascarós E, Ocaña D, Jimeno I, Gil Á, Linares M, Onieva-García MÁ, González-Romo F, Yuste J, Martinón-Torres F. Respiratory Syncytial Virus Vaccination Recommendations for Adults Aged 60 Years and Older: The NeumoExperts Prevention Group Position Paper. Arch Bronconeumol 2024; 60:161-170. [PMID: 38311509 DOI: 10.1016/j.arbres.2024.01.004] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2023] [Revised: 01/08/2024] [Accepted: 01/09/2024] [Indexed: 02/06/2024]
Abstract
Respiratory syncytial virus (RSV) is a major cause of respiratory tract infections in adults, particularly older adults and those with underlying medical conditions. Vaccination has emerged as a potential key strategy to prevent RSV-related morbidity and mortality. This Neumoexperts Prevention (NEP) Group scientific paper aims to provide an evidence-based positioning and RSV vaccination recommendations for adult patients. We review the current literature on RSV burden and vaccine development and availability, emphasising the importance of vaccination in the adult population. According to our interpretation of the data, RSV vaccines should be part of the adult immunisation programme, and an age-based strategy should be preferred over targeting high-risk groups. The effectiveness and efficiency of this practice will depend on the duration of protection and the need for annual or more spaced doses. Our recommendations should help healthcare professionals formulate guidelines and implement effective vaccination programmes for adult patients at risk of RSV infection now that specific vaccines are available.
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Affiliation(s)
- Esther Redondo
- Infectious, Migrant, Vaccines and Preventive Activities Group of SEMERGEN, International Healthcare Centre of the City Council of Madrid, Madrid, Spain
| | - Irene Rivero-Calle
- Translational Paediatrics and Infectious Diseases Section, Paediatrics Department, Hospital Clínico Universitario de Santiago de Compostela, Santiago de Compostela, Spain; Genetics, Vaccines, and Infections Research Group (GENVIP), Healthcare Research Institute of Santiago de Compostela, University of Santiago de Compostela, Santiago de Compostela, Spain; CIBER of Respiratory Diseases (CIBERES), Instituto de Salud Carlos III, Madrid, Spain
| | - Enrique Mascarós
- Health Department, Hospital la Fe, Primary Care Centre Arquitecto Tolsá, Valencia, Spain
| | - Daniel Ocaña
- Primary Care, Health Care Centre Algeciras, Algeciras, Spain
| | - Isabel Jimeno
- Primary Care Health Centre Isla de Oza, Vaccine Responsible of SEMG, Madrid, Spain
| | - Ángel Gil
- CIBER of Respiratory Diseases (CIBERES), Instituto de Salud Carlos III, Madrid, Spain; Preventive and Public Health, Rey Juan Carlos University, Madrid, Spain
| | - Manuel Linares
- Specialist in Primary Care and Clinical Microbiology, Infectious Diseases Group SEMERGEN, Fundación io, Madrid, Spain
| | - María Ángeles Onieva-García
- Preventive Medicine and Public Health Unit, Hospital Universitario Reina Sofía, Cordoba, Spain; Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Spain
| | - Fernando González-Romo
- Clinical Microbiology Department, Hospital Universitario Clínico San Carlos, Madrid, Spain
| | - José Yuste
- CIBER of Respiratory Diseases (CIBERES), Instituto de Salud Carlos III, Madrid, Spain; National Centre for Microbiology, Instituto de Salud Carlos III, Madrid, Spain
| | - Federico Martinón-Torres
- Translational Paediatrics and Infectious Diseases Section, Paediatrics Department, Hospital Clínico Universitario de Santiago de Compostela, Santiago de Compostela, Spain; Genetics, Vaccines, and Infections Research Group (GENVIP), Healthcare Research Institute of Santiago de Compostela, University of Santiago de Compostela, Santiago de Compostela, Spain; CIBER of Respiratory Diseases (CIBERES), Instituto de Salud Carlos III, Madrid, Spain.
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Beca-Martínez MT, Ayala A, Falcón-Romero M, Rodríguez-Blázquez C, Benito-Llanes A, Forjaz MJ, Romay-Barja M. Characteristics of adults who reported not having had COVID-19 in Spain after the first two years of the pandemic and associated factors. J Infect Public Health 2024; 17:435-442. [PMID: 38262081 DOI: 10.1016/j.jiph.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)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2023] [Revised: 12/22/2023] [Accepted: 12/31/2023] [Indexed: 01/25/2024] Open
Abstract
BACKGROUND There is little evidence regarding the characteristics of adults who self-reported not having had COVID-19 after two years of the pandemic. This study aimed to analyse the characteristics of no-COVID-19 respondents and the associated factors to better understand which may have conditioned not having had the disease as guidance to help in the design of better public health strategies. METHODS This cross-sectional, observational study was conducted in the Spanish general population in a representative sample of 1051 adults who completed an online survey in September 2022. Multivariable logistic regression was performed to assess which factors were related to reporting not having had COVID-19. RESULTS Almost half of the respondents (47.8%) reported not having ever had COVID-19. Significant differences were found between people who reported having had and not having had COVID-19 according to sex, age, education level, employment and living with children. No-COVID-19 respondents had greater concern and less fear of the disease and were more worried about the new variants. After the multivariable analysis, factors associated with no-COVID-19 respondents were male sex (OR)=1.40; 95% (CI=1.07-1.82), older age (OR=1.01; 95% CI=1.01-1.03), having a greater perception of disease severity if infected (OR=4.71; 95% CI=2.97-7.47), greater adherence to preventive measures (OR=1.02; 95% CI=1.01-1.03), and having received a complete vaccination schedule and booster dose (OR=1.56; 95% CI=1.03-2.36). CONCLUSIONS Analysing the characteristics of people reporting not having had COVID-19 can support public health decision-makers in designing better interventions and facilitating the implementation of effective prevention and control measures to prepare for and respond to a possible future pandemic.
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Affiliation(s)
- María Teresa Beca-Martínez
- Escuela Internacional de Doctorado de la Universidad Nacional de Educación a Distancia (UNED), Programa de Doctorado en Ciencias Biomédicas y Salud Pública, C/ Bravo Murillo, 38, 28015 Madrid, Spain
| | - Alba Ayala
- Unidad de Investigación en Cuidados y Servicios de Salud (Investén-ISCIII), Instituto de Salud Carlos III (ISCIII), Avda. Monforte de Lemos, 5, 28029 Madrid, Spain; Red de Investigación en Cronicidad, Atención Primaria y Promoción de la Salud (RICAPPS), Madrid, Spain
| | - María Falcón-Romero
- Departamento de Ciencias Sociales y de la Salud, Medicina Legal y Forense, Universidad de Murcia, Avda. Teniente Flomesta, 5, 30003 Murcia, Spain
| | - Carmen Rodríguez-Blázquez
- Centro Nacional de Epidemiología y Centro de Investigaciones Biomédicas en Red de Enfermedades Neurodegenerativas (CIBERNED), Instituto de Salud Carlos III (ISCIII), Avda. Monforte de Lemos, 5, 28029 Madrid, Spain
| | - Agustín Benito-Llanes
- Centro de Investigación Biomédica en Red de Enfermedades Infecciosas (CIBERINFEC), Avda. Monforte de Lemos 5, 28029 Madrid, Spain; Centro Nacional de Medicina Tropical, Instituto de Salud Carlos III (ISCIII), Avda. Monforte de Lemos, 5, 28029 Madrid, Spain
| | - Maria João Forjaz
- Red de Investigación en Cronicidad, Atención Primaria y Promoción de la Salud (RICAPPS), Madrid, Spain; Centro Nacional de Epidemiología, Instituto de Salud Carlos III (ISCIII), Avda. Monforte de Lemos, 5, 28029 Madrid, Spain
| | - María Romay-Barja
- Centro de Investigación Biomédica en Red de Enfermedades Infecciosas (CIBERINFEC), Avda. Monforte de Lemos 5, 28029 Madrid, Spain; Centro Nacional de Medicina Tropical, Instituto de Salud Carlos III (ISCIII), Avda. Monforte de Lemos, 5, 28029 Madrid, Spain.
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Adib K, Mazouzi M, Elyoussoufi S. Investigation of annual trucks fatal accidents in El Hajeb province of Morocco using TRIZ-Ishikawa diagram. Heliyon 2024; 10:e26295. [PMID: 38390066 PMCID: PMC10882120 DOI: 10.1016/j.heliyon.2024.e26295] [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: 05/31/2023] [Revised: 02/03/2024] [Accepted: 02/09/2024] [Indexed: 02/24/2024] Open
Abstract
A stretch of road in the province of EL HAJEB, located in the central-south region of Morocco, is classified among the roadways experiencing an accumulation of fatal traffic accidents, with a particular involvement of freight transport vehicles. Investigation reports elaborated for these fatal accidents specify that these accidents occurred when drivers lost control of their vehicles due to brake system failures, resulting in multiple fatalities. However, these investigation reports did not provide root causes of this phenomena. Scientific research efforts in this field are directed toward preventive solutions and proposing a comprehensive analytical approach. This study aims to elucidate the mechanisms behind these specific accident phenomena on the identified stretch in the city of EL HAJEB. To achieve the study's objective and identify the triggering or contributing factors of these failures, we employed a novel approach combining the TRIZ and Ishikawa tools. This is a systematic methodology for analyzing potential causes of accidents, allowing us to clarify the intricacies of the specific phenomena leading to accidents while systematizing the analysis process, thus contributing to enhancing the effectiveness of investigative teams. This article contributes to introducing a new analytical tool in the field of accident analysis.
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Affiliation(s)
- Karim Adib
- ENSEM School, Hassan II University, Morocco
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Bernburg M, Tell A, Groneberg DA, Mache S. Digital stressors and resources perceived by emergency physicians and associations to their digital stress perception, mental health, job satisfaction and work engagement. BMC Emerg Med 2024; 24:31. [PMID: 38413900 PMCID: PMC10900642 DOI: 10.1186/s12873-024-00950-x] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2023] [Accepted: 02/08/2024] [Indexed: 02/29/2024] Open
Abstract
BACKGROUND Digital technologies are increasingly being integrated into healthcare settings, including emergency departments, with the potential to improve efficiency and patient care. Although digitalisation promises many benefits, the use of digital technologies can also introduce new stressors and challenges among medical staff, which may result in the development of various negative work and health outcomes. Therefore, this study aims to identify existing digital stressors and resources among emergency physicians, examine associations with various work- and health-related parameters, and finally identify the potential need for preventive measures. METHODS In this quantitative cross-sectional study, an online questionnaire was used to examine the relationship between digital stressors (technostress creators), digital resources (technostress inhibitors), technostress perception as well as mental health, job satisfaction and work engagement among 204 physicians working in German emergency medicine departments. Data collection lasted from December 2022 to April 2023. Validated scales were used for the questionnaire (e.g. "Technostress"-scale and the Copenhagen Psychosocial Questionnaire (COPSOQ). Descriptive and multiple regression analyses were run to test explorative assumptions. RESULTS The study found medium levels of technostress perception among the participating emergency physicians as well as low levels of persisting technostress inhibitors. The queried physicians on average reported medium levels of exhaustion symptoms, high levels of work engagement and job satisfaction. Significant associations between digital stressors and work- as well as health-related outcomes were analyzed. CONCLUSION This study provides a preliminary assessment of the persistence of digital stressors, digital resources and technostress levels, and their potential impact on relevant health and work-related outcomes, among physicians working in German emergency departments. Understanding and mitigating these stressors is essential to promote the well-being of physicians and ensure optimal patient care. As digitisation processes will continue to increase, the need for preventive support measures in dealing with technology stressors is obvious and should be expanded accordingly in the clinics. By integrating such support into everyday hospital life, medical staff in emergency departments can better focus on patient care and mitigate potential stress factors associated with digital technologies.
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Affiliation(s)
- Monika Bernburg
- Institute of Occupational, Social and Environmental Medicine, Goethe University, Frankfurt, Germany
| | - Anika Tell
- Institute for Occupational and Maritime Medicine (ZfAM), University Medical Center Hamburg- Eppendorf (UKE), Seewartenstraße 10, 20459, Hamburg, Germany
| | - David A Groneberg
- Institute of Occupational, Social and Environmental Medicine, Goethe University, Frankfurt, Germany
| | - Stefanie Mache
- Institute of Occupational, Social and Environmental Medicine, Goethe University, Frankfurt, Germany.
- Institute for Occupational and Maritime Medicine (ZfAM), University Medical Center Hamburg- Eppendorf (UKE), Seewartenstraße 10, 20459, Hamburg, Germany.
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Anjali, B RK. Exploring cause-specific strategies for suicide prevention in India: A multivariate VARMA approach. Asian J Psychiatr 2024; 92:103871. [PMID: 38160524 DOI: 10.1016/j.ajp.2023.103871] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/12/2023] [Revised: 11/30/2023] [Accepted: 12/13/2023] [Indexed: 01/03/2024]
Abstract
Efficiently predicting suicide rates aids resource allocation and response preparedness. This study investigates time-series data with multiple variables to model and forecast suicide events in India. Utilizing official suicide statistics (2001-2021), results highlight the superiority of the multivariate VARMA model over VAR and univariate ARIMA models. This approach uncovers overlooked patterns and a concerning upward trend in future Indian suicide incidents. The research provides insights that aid public health professionals in targeting high-need areas and enhancing readiness and suggests cause-specific preventive strategies to counter this trend.
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Affiliation(s)
- Anjali
- Department of Mathematics, School of Advanced Sciences, Vellore Institute of Technology, Vellore 632014, Tamil Nadu, India
| | - Rushi Kumar B
- Department of Mathematics, School of Advanced Sciences, Vellore Institute of Technology, Vellore 632014, Tamil Nadu, India.
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Axenhus M, Svedman S, Magnéli M. Trends and projection of forearm fractures including elbow fractures of the Olecranon in Sweden: an analysis of 363 968 fractures using public aggregated data. BMC Musculoskelet Disord 2024; 25:33. [PMID: 38178106 PMCID: PMC10768300 DOI: 10.1186/s12891-023-07162-7] [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] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/31/2023] [Accepted: 12/31/2023] [Indexed: 01/06/2024] Open
Abstract
BACKGROUND Forearm and olecranon fractures are a common orthopaedic injury. This study aimed to analyse whether the incidence of forearm injury is changing and identifying trends in the number of forearm and olecranon fractures using public aggregated data in Sweden. METHODS The number of forearm and olecranon fractures as defined by the number of registered diagnoses with the ICD-10 code of S52 were collected and normalized per 100,000 inhabitants and stratified per sex, age, and month. Age-adjusted incidence for forearm and olecranon fractures were calculated using the direct method. Poisson regression was used to analyse monthly, seasonal and yearly change in forearm and olecranon fracture incidence. Logistical regression was used to predict future trends of forearm and olecranon fractures. RESULTS The findings revealed a slight decreasing trend in forearm and olecranon fractures. The average incidence rate during the study period was 333 with women having a higher incidence rate than men. More fractures occurred in the winter months. Fluctuations in the number of forearm and olecranon fractures were observed during 2020 which may be influenced by the COVID-19 pandemic. Based on current data, forearm and olecranon fractures are expected to decrease in Sweden by 2035. CONCLUSION This study describes the trend of forearm and olecranon fractures among individuals according to sex and age in Sweden using easily obtainable data. Trends in forearm and olecranon fractures are dependent on sex and age but generally show a decreasing trend. More precise studies are needed in order to properly quantify the specific incidence of various subtypes of forearm and olecranon fractures and associated risk factors.
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Affiliation(s)
- Michael Axenhus
- Department of Orthopaedic Surgery, Danderyd Hospital, Stockholm, Sweden.
- Department of Clinical Sciences at Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden.
| | - Simon Svedman
- Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden
- Department of Orthopaedic Surgery, Karolinska University Hospital, Stockholm, Sweden
| | - Martin Magnéli
- Department of Orthopaedic Surgery, Danderyd Hospital, Stockholm, Sweden
- Department of Clinical Sciences at Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden
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Amer HA, AlFaraj S, Alboqami K, Alshakarh F, Alsalam M, Kumar D, Altayieb J, Alsunid A, Khanum N, Dar NG, Badawi M, Abdallah H, Memish ZA. Characteristics and Mitigation Measures of Candida auris Infection: Descriptive Analysis from a Quaternary Care Hospital in Saudi Arabia, 2021-2022. J Epidemiol Glob Health 2023; 13:825-830. [PMID: 37870721 PMCID: PMC10686928 DOI: 10.1007/s44197-023-00154-9] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2023] [Accepted: 09/12/2023] [Indexed: 10/24/2023] Open
Abstract
OBJECTIVE To analyze the characteristics of C. auris cases, and to describe the interventions applied for improving the diagnosis and controlling the transmission. METHOD Medical records of C. auris cases reported between January 2021 until June 2022 at King Saud Medical City (KSMC), Riyadh, Kingdom of Saudi Arabia have been reviewed. We analyzed the demographic and clinical characteristics of the cases to illustrate the possible contributing factors with C. auris infection. A multidisciplinary committee has been formulated to investigate the potential source of the outbreak among clusters of cases in the intensive care units (ICU). A bundle of mitigation measures has been applied which was successful to contain the outbreak. RESULTS During the study period, a total of 129 cases of C. auris were identified, their mean age is 47 ± 22.3 SD, and 72.1% are males. 57% of cases were colonized, all of them were identified through active screening. A number of comorbidities were present including 27.9% were having hypertension, 27.1% with diabetes, 22.5% with COVID-19 and 20.2% with respiratory diseases. The average length of stay before reported positive was 36.23 days. 78.3% of those patients were in the critical care unit, 73.6% with vascular catheter, 88% with urinary catheters and 66.7% with mechanical ventilation. The vast majority of patients were using multiple antibiotics (86%). As per the univariate logistic model, risk factors significantly associated with mortality were (Age, Trauma RTA, ICU, Vascular Access, Foley Catheters, Mechanical Ventilation, Tracheostomy and Endotracheal Tubes) with p values (0.0038, 0.0159, 0.0108, 0.0122, 0.0071, <.0001, 0.0148 and 0.0107), respectively. Multivariate logistic regression showed that having a Foley Catheter was the only statistically significant factor associated with mortality. CONCLUSION This retrospective analysis highlights the main characteristics associated with C. auris-infected patients. In addition, it highlights the effectiveness of the bundle of mitigation strategies applied to limit the spread of C. auris in healthcare facilities.
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Affiliation(s)
- Hala A Amer
- Prevention and Control of Infection Administration, King Saud Medical City, Riyadh, Saudi Arabia.
- Community Medicine Research Department, National Research Center, Cairo, Egypt.
| | - Sarah AlFaraj
- Prevention and Control of Infection Administration, King Saud Medical City, Riyadh, Saudi Arabia
| | - Kholoud Alboqami
- Prevention and Control of Infection Administration, King Saud Medical City, Riyadh, Saudi Arabia
| | - Faleh Alshakarh
- Prevention and Control of Infection Administration, King Saud Medical City, Riyadh, Saudi Arabia
| | - Mona Alsalam
- Prevention and Control of Infection Administration, King Saud Medical City, Riyadh, Saudi Arabia
| | - Deva Kumar
- Prevention and Control of Infection Administration, King Saud Medical City, Riyadh, Saudi Arabia
| | - Juhaina Altayieb
- Prevention and Control of Infection Administration, King Saud Medical City, Riyadh, Saudi Arabia
| | - Antisar Alsunid
- Prevention and Control of Infection Administration, King Saud Medical City, Riyadh, Saudi Arabia
| | - Nazia Khanum
- Prevention and Control of Infection Administration, King Saud Medical City, Riyadh, Saudi Arabia
| | - Nadeem Gul Dar
- Prevention and Control of Infection Administration, King Saud Medical City, Riyadh, Saudi Arabia
| | - Muhammad Badawi
- Prevention and Control of Infection Administration, King Saud Medical City, Riyadh, Saudi Arabia
| | - Hassan Abdallah
- Prevention and Control of Infection Administration, King Saud Medical City, Riyadh, Saudi Arabia
| | - Ziad A Memish
- Research and Innovation Center, King Saud Medical City, Riyadh, Saudi Arabia
- College of Medicine, AlFaisal University, Riyadh, Saudi Arabia
- Hubert Department of Global Health, Rollins School of Public Health, Emory, University, Atlanta, USA
- Division of Infectious Diseases, Kyung Hee University, Seoul, Korea
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10
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Gamez J, Carmona F, Gamez A, Santos M. Evidence of high compliance and fatigue in mask adherence in two mandates in Barcelona, Spain: a naturalistic observational study. Public Health 2023; 225:63-65. [PMID: 37922587 DOI: 10.1016/j.puhe.2023.09.021] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2023] [Revised: 09/21/2023] [Accepted: 09/23/2023] [Indexed: 11/07/2023]
Abstract
OBJECTIVE We investigated a possible pandemic fatigue effect, comparing adherence to compulsory mask use outdoors in Barcelona during the fourth and sixth waves of the pandemic. STUDY DESIGN We used naturalistic observation to determine the degree of pedestrians' compliance. METHODS We assessed mask use outdoors in a sample of pedestrians in Barcelona between 28 December 2021 and 9 February 2022 (during the sixth wave in Spain), and compared it with the fourth wave (which was between 5 April 2021 and 29 April 2021). Masks were compulsory in both periods. RESULTS The population studied amounted to 45,116 people (21,246 in the fourth wave and 23,870 in the sixth wave). In the sixth wave, only 67.3% wore a mask correctly, 18.6% did so incorrectly and 14.1% did not wear a mask, while the figures for the fourth wave were 78.2%, 16.3% and 5.5%, respectively (P = 0.001). CONCLUSION Our results suggest that adherence was high in the population studied, but with an evident fatigue effect when the two waves were compared, as the proportion of individuals wearing a mask correctly declined compared to the fourth wave. These results suggest that policymakers need guidance on adopting clear and enforceable guidelines during future mask mandates, assessing advantages and drawbacks in terms of the population's behavior to prevent the fatigue effect.
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Affiliation(s)
- J Gamez
- Department of Medicine, GMA Clinic, Universitat Autònoma de Barcelona, Barcelona, Spain.
| | - F Carmona
- Department of Genetics, Microbiology and Statistics, Universitat de Barcelona, Barcelona, Spain
| | - A Gamez
- Ophtalmology Department, Hospital San Rafael, Barcelona, Spain
| | - M Santos
- Communication and Public Health Informatic Department, Hospital San Rafael, Barcelona, Spain
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ESLAMI-MAHMOODABADI AZAM, FOROUGHAMERI GOLNAZ, MAAZALLAHI MAHBOOBEH, FAROKHZADIAN JAMILEH. Nurses' knowledge, attitude, and practice regarding osteoporosis prevention and its correlation with their nutritional behaviors. J Prev Med Hyg 2023; 64:E429-E437. [PMID: 38379736 PMCID: PMC10876026 DOI: 10.15167/2421-4248/jpmh2023.64.4.2709] [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] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/09/2022] [Accepted: 12/06/2023] [Indexed: 02/22/2024]
Abstract
Background Nurses have good opportunities to communicate with osteoporotic patients and the public as well as convey osteoporosis prevention education to them. Therefore, nurses require specific knowledge, attitude, practice (KAP), and desirable nutritional behaviors for osteoporosis prevention and treatment strategies. Little is known about the KAP for osteoporosis prevention and nutritional behaviors among nurses in Iran. Purpose The present study was conducted to evaluate nurses' KAP and nutritional behaviors for osteoporosis prevention. Methods This cross-sectional study included 195 nurses working in three hospitals in southeastern Iran. Nurses were selected using a stratified random sampling method between April and June 2020. The data collection tools included questionnaires of KAP and nutritional behaviors to prevent osteoporosis. Findings According to the findings, nurses' knowledge regarding osteoporosis prevention was high level (20.23 ± 3.79) and their attitude (72.71 ± 6.97), practice (48.25 ± 6.38), and nutritional behavior scores (110.12 ± 13.68) were desirable. In addition, nurses' KAP regarding osteoporosis prevention was correlated with their nutritional behaviors (p = 0.001). Conclusions Given the high levels of knowledge, desirable practices, and in Iranian nurses regarding the prevention of osteoporosis, they can play a significant role in changing KAP and nutritional behaviors of people to prevent this disease. To this end, educational and support programs should be implemented in clinical and community settings to develop a healthy lifestyle in the community.
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Affiliation(s)
| | - GOLNAZ FOROUGHAMERI
- Reproductive Health, Family and Population Research Center, Kerman University of Medical Sciences, Kerman, Iran
| | - MAHBOOBEH MAAZALLAHI
- Health in Disasters and Emergencies Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
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12
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Elisabeth Maria Pigeaud L, de Veld L, van Hoof JJ, van der Lely N. Acute alcohol intoxication in adolescents before and after the Dutch alcohol law change. Prev Med Rep 2023; 35:102310. [PMID: 37455757 PMCID: PMC10344933 DOI: 10.1016/j.pmedr.2023.102310] [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: 03/08/2023] [Revised: 06/30/2023] [Accepted: 07/01/2023] [Indexed: 07/18/2023] Open
Abstract
The present study aims to explore hospital admission data pertaining to Dutch adolescents admitted for acute alcohol intoxication between 2007 - 2019. Specific focus will be on the increase in the age limit for alcohol nationwide, from 16 to 18 years old for low alcoholic beverages, on the first of January 2014. The data of all admitted adolescents < 18 years old with acute alcohol intoxication was collected from 12 Dutch major district general hospitals (which accounts for 35% of the adolescents with acute alcohol intoxication in the Netherlands). In total, 2675 adolescents who were treated with symptoms of acute alcohol intoxication during this period were included in this study. The incidence of adolescents presenting with acute alcohol intoxication between 2007 and 2019 increased significantly (n = 78 (2007) vs. 279 (2019)). Moreover, the mean age of this population increased significantly over time. In 2007, 62,8% of the adolescents were < 16 years old, whereas by 2019 this had dropped to 40.2%. Furthermore, the proportion with positive drug screening results also increased significantly within patients with acute alcohol intoxication after the alcohol law change in 2014. The most common drug found in the drug screening was cannabis. These findings are relevant for both the central government's ongoing prevention initiatives and treatment strategies within hospitals.
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Affiliation(s)
- Louise Elisabeth Maria Pigeaud
- Department of Pediatrics, Reinier de Graaf Hospital, P.O. Box 5011, 2600 GA, Delft, the Netherlands
- Erasmus School of Health Policy & Management, Erasmus University Rotterdam, 3062 PA Rotterdam, the Netherlands
| | - Loes de Veld
- Department of Pediatrics, Reinier de Graaf Hospital, P.O. Box 5011, 2600 GA, Delft, the Netherlands
| | - Joris Jasper van Hoof
- Institute for Behavioural Research, University of Twente, P.O. Box 217, 7500 EA Enschede, the Netherlands
| | - Nico van der Lely
- Department of Pediatrics, Reinier de Graaf Hospital, P.O. Box 5011, 2600 GA, Delft, the Netherlands
- Faculty of Medicine and Health Science, University Antwerp, Prinsstraat 1, 2000 Antwerp, Belgium
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13
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Ren Z, Wesselius A, Stehouwer CDA, Brouwers MCGJ. Cardiovascular Implications of Metabolic Dysfunction-Associated Fatty Liver Disease. Endocrinol Metab Clin North Am 2023; 52:459-468. [PMID: 37495337 DOI: 10.1016/j.ecl.2023.01.002] [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: 07/28/2023]
Abstract
Both nonalcoholic fatty liver disease (NAFLD) and metabolic dysfunction-associated fatty liver disease (MAFLD) have been associated with incident cardiovascular disease (CVD), independent of confounders. Causality has recently been inferred by Mendelian randomization studies. Although these findings have contributed to current guidelines that recommend screening for and treatment of cardiovascular risk factors, it not yet clear how to position NAFLD/MAFLD in cardiovascular risk estimation scores and, consequently, which treatment targets should be used. This review aims to provide practical tools as well as suggestions for further research in order to effectively prevent CVD events in patients with NAFLD/MAFLD.
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Affiliation(s)
- Zhewen Ren
- Division of Endocrinology and Metabolic Disease, Department of Internal Medicine, Maastricht University Medical Center, P Debyelaan 25, 6229 HX Maastricht, the Netherlands; CARIM School for Cardiovascular Diseases, Maastricht University, Universiteitssingel 50, 6229 ER Maastricht, the Netherlands; Laboratory for Metabolism and Vascular Medicine, Maastricht University, Universiteitssingel 50, 6229 ER Maastricht, the Netherlands
| | - Anke Wesselius
- Department of Epidemiology, Maastricht University, Universiteitssingel 50, 6229 ER Maastricht, the Netherlands; NUTRIM School for Nutrition and Translational Research in Metabolism Maastricht University, Universiteitssingel 50, 6229 ER Maastricht, the Netherlands
| | - Coen D A Stehouwer
- Division of Endocrinology and Metabolic Disease, Department of Internal Medicine, Maastricht University Medical Center, P Debyelaan 25, 6229 HX Maastricht, the Netherlands; Division of General Internal Medicine, Department of Internal Medicine, Maastricht University Medical Centre, P Debyelaan 25, 6229 HX Maastricht, the Netherlands
| | - Martijn C G J Brouwers
- Division of Endocrinology and Metabolic Disease, Department of Internal Medicine, Maastricht University Medical Center, P Debyelaan 25, 6229 HX Maastricht, the Netherlands; CARIM School for Cardiovascular Diseases, Maastricht University, Universiteitssingel 50, 6229 ER Maastricht, the Netherlands.
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14
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Laroche E, Fournier PS, Ouedraogo NC. Prediction of compliance with preventive measures among teachers in the context of the COVID-19 pandemic. Technol Forecast Soc Change 2023; 192:122564. [PMID: 37065093 PMCID: PMC10080279 DOI: 10.1016/j.techfore.2023.122564] [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] [Subscribe] [Scholar Register] [Received: 06/17/2022] [Revised: 02/10/2023] [Accepted: 02/16/2023] [Indexed: 05/21/2023]
Abstract
The objective of this study is to examine, in primary and high schools, teachers' compliance with preventive infection control measures (in the context of the COVID-19 pandemic). Inspired by the technology acceptance model (TAM) and occupational health and safety (OHS) literature on personal protective equipment (PPE) use, we propose a model of compliance with preventive measures among teachers. Data were collected following an observational, cross-sectional design. The data for the study were collected via a questionnaire survey of teachers working in the province of Quebec, Canada. To study the impact of the explanatory variables on the dependent variable, we developed a multiple linear regression model. This model was estimated to assess the preventive measures as a whole (six items). Results show that having tested positive for a COVID test in the last year, judging that the situation does not require the use of the mask or the protective glasses, training received on preventive measures, factors related to comfort and use of protective eyewear, as well as age influence teacher compliance with COVID-19 preventive measures.
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Affiliation(s)
- Elena Laroche
- Faculty of Administrative Sciences, Laval University, Pavillon Palasis-Prince (local 0523), 2325 rue de la Terrasse, Québec G1V 0A6, Canada
| | - Pierre-Sébastien Fournier
- Faculty of Administrative Sciences, Laval University, Pavillon Palasis-Prince (local 0523), 2325 rue de la Terrasse, Québec G1V 0A6, Canada
| | - Nafissatou Cynthia Ouedraogo
- Faculty of Administrative Sciences, Laval University, Pavillon Palasis-Prince (local 0523), 2325 rue de la Terrasse, Québec G1V 0A6, Canada
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15
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Ferreira A, Buckey TM, Grant-Kels JM. Dermatologists' ethical obligations to patients and their family members regarding genetic testing. J Am Acad Dermatol 2023:S0190-9622(23)01172-6. [PMID: 37343828 DOI: 10.1016/j.jaad.2023.06.019] [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: 05/15/2023] [Revised: 06/07/2023] [Accepted: 06/12/2023] [Indexed: 06/23/2023]
Affiliation(s)
- Alana Ferreira
- Department of Dermatology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA
| | - Timothy M Buckey
- Section of Allergy & Immunology, Division of Pulmonary, Allergy, and Critical Care Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA
| | - Jane M Grant-Kels
- Department of Dermatology, University of Connecticut Health Center, Farmington, CT; Department of Dermatology, University of Florida, Gainesville, FL.
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Folayan MO, Abeldaño Zuñiga RA, Aly NM, Ellakany P, Idigbe IE, Jafer M, Lawal FB, Khalid Z, Lusher J, Virtanen JI, Nguyen AL. Differences in adoption of COVID-19 pandemic related preventive behaviour by viral load suppression status among people living with HIV during the first wave of the pandemic. BMC Res Notes 2023; 16:90. [PMID: 37231488 PMCID: PMC10212221 DOI: 10.1186/s13104-023-06363-6] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2022] [Accepted: 05/19/2023] [Indexed: 05/27/2023] Open
Abstract
BACKGROUND Adherence to antiretroviral therapy and COVID-19 preventive behaviours among people living with HIV during the pandemic has received little attention in the literature. To address this gap in knowledge, the present study assessed the associations between viral load, adherence to antiretroviral therapy and the use of COVID-19 prevention strategies during the first wave of the COVID-19 pandemic. This was a secondary analysis of data generated through an online survey recruiting participants from 152 countries. Complete data from 680 respondents living with HIV were extracted for this analysis. RESULTS The findings suggest that detectable viral load was associated with lower odds of wearing facemasks (AOR: 0.44; 95% CI:0.28-0.69; p < 0.01) and washing hands as often as recommended (AOR: 0.64; 95% CI: 0.42-0.97; p = 0.03). Also, adherence to the use of antiretroviral drugs was associated with lower odds of working remotely (AOR: 0.60; 95% CI: 0.38-0.94; p = 0.02). We found a complex relationship between HIV positive status biological parameters and adherence to COVID-19 preventive measures that may be partly explained by risk-taking behaviours. Further studies are needed to understand the reasons for the study findings.
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Affiliation(s)
- Morenike Oluwatoyin Folayan
- Mental Health and Wellness Study Group, Obafemi Awolowo University, Ile-Ife, Nigeria.
- Department of Child Dental Health, Obafemi Awolowo University, Ile-Ife, Nigeria.
| | - Roberto Ariel Abeldaño Zuñiga
- Mental Health and Wellness Study Group, Obafemi Awolowo University, Ile-Ife, Nigeria
- Faculty of Social Sciences, University of Helsinki, Helsinki, Finland
- Postgraduate Department, University of Sierra Sur, Oaxaca, Mexico
| | - Nourhan M Aly
- Mental Health and Wellness Study Group, Obafemi Awolowo University, Ile-Ife, Nigeria
- Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Alexandria University, Alexandria, Egypt
| | - Passent Ellakany
- Mental Health and Wellness Study Group, Obafemi Awolowo University, Ile-Ife, Nigeria
- Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Ifeoma E Idigbe
- Mental Health and Wellness Study Group, Obafemi Awolowo University, Ile-Ife, Nigeria
- Clinical Sciences Department, Nigerian Institute of Medical Research, Lagos, Nigeria
| | - Mohammed Jafer
- Mental Health and Wellness Study Group, Obafemi Awolowo University, Ile-Ife, Nigeria
- Department of Preventive Dental Sciences, Faculty of Dentistry, Jazan University, Jazan, Saudi Arabia
| | - Folake B Lawal
- Mental Health and Wellness Study Group, Obafemi Awolowo University, Ile-Ife, Nigeria
- Department of Periodontology and Community Dentistry, University of Ibadan and University College Hospital, Ibadan, Nigeria
| | - Zumama Khalid
- Mental Health and Wellness Study Group, Obafemi Awolowo University, Ile-Ife, Nigeria
- Department of Health Sciences, University of Genova, Genova, GE, 16132, Italy
| | - Joanne Lusher
- Mental Health and Wellness Study Group, Obafemi Awolowo University, Ile-Ife, Nigeria
- Regent's University, London, UK
| | - Jorma I Virtanen
- Mental Health and Wellness Study Group, Obafemi Awolowo University, Ile-Ife, Nigeria
- Faculty of Medicine, University of Turku, Turku, Finland
| | - Annie L Nguyen
- Mental Health and Wellness Study Group, Obafemi Awolowo University, Ile-Ife, Nigeria
- Department of Family Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
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Nacer N, Ouzennou N, El Fatimi N, Rkha S. Knowledge and Attitudes about Mother-to-Child Transmission of the Human Immunodeficiency Virus in a Context of Social Vulnerability: The Case of the Province of Essaouira, Morocco. Ethiop J Health Sci 2023; 33:403-412. [PMID: 37576180 PMCID: PMC10416339 DOI: 10.4314/ejhs.v33i3.3] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2022] [Accepted: 03/04/2023] [Indexed: 08/15/2023] Open
Abstract
Background Despite health education efforts, pregnant women still face major health problems.The aim of this study was to assess the knowledge and attitudes of pregnant women on measures to prevent mother-to-child transmission of the human immunodeficiency virus in a context of social vulnerability. Methods This is a cross-sectional survey of 384 pregnant women randomly selected from the 20 health districts in the province of Essaouira. This study was carried out from January 2022 to June 2022. A questionnaire was used, and bivariable logistic regression analyses were done to identify factors associated with knowledge and attitudes of pregnant women about mother-to-child transmission of the human immunodeficiency virus. Results Low knowledge (75.8%) and negative attitudes (72.7%) about preventing mother-to-child transmission of HIV were observed in study participants. The knowledge and attitudes of pregnant women about the prevention of mother-to-child transmission of HIV varied by education level, number of children, and source of information. There was a very significant correlation between knowledge and attitude (p=0.000). Conclusion A significant number of pregnant women have incomplete knowledge and attitudes about preventing mother-to-child transmission of HIV. Actions to increase the knowledge of pregnant women are essential. The capacity of healthcare providers should also be strengthened to improve the quality of care.
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Affiliation(s)
- Nezha Nacer
- Laboratory of Pharmacology, Neurobiology, Anthropobiology, Environment and Behavior, Biology, Faculty of Sciences Semlalia, Cadi Ayyad A University, Marrakech, Morocco
| | - Nadia Ouzennou
- Laboratory of Pharmacology, Neurobiology, Anthropobiology, Environment and Behavior, Biology, Faculty of Sciences Semlalia, Cadi Ayyad A University, Marrakech, Morocco
- Higher Institute of Nursing and Health Techniques of Marrakech, Marrakech, Morocco
| | | | - Samia Rkha
- Laboratory of Pharmacology, Neurobiology, Anthropobiology, Environment and Behavior, Biology, Faculty of Sciences Semlalia, Cadi Ayyad A University, Marrakech, Morocco
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Düzel E, Thyrian JR. [Mobile everyday-life digital technologies for the prevention of Alzheimer's dementia: cognitive health and cognitive safety]. Nervenarzt 2023; 94:400-407. [PMID: 37115257 PMCID: PMC10160180 DOI: 10.1007/s00115-023-01478-4] [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: 03/17/2023] [Indexed: 04/29/2023]
Abstract
It is generally accepted that the treatment of Alzheimer's disease should be flanked by preventive measures for risk reduction in order to maintain cognitive functions for as long as possible; however, the research and development of treatment concepts are both faced with challenges. The preventive risk reduction necessitates a high level of coordination of neurology and psychiatry with other disciplines. Also, patients must develop a high level of health competence and summon up self-motivation and adherence. This concept article deals with the question of how mobile everyday-life digital technologies can help to address these challenges. The core prerequisite is the interdisciplinary coordinated structuring of prevention with the focus on cognitive health and cognitive safety. Cognitive health relates to a reduction of risk factors associated with lifestyle. Cognitive safety concerns the avoidance of iatrogenic side effects on cognitive functions. Digital technologies that are relevant in this context are mobile apps based on smartphones or tablets for everyday-life and high-frequency recording of cognitive functions, apps that can coach the implementation of lifestyle changes as companion technologies, apps that can assist in the reduction of iatrogenic risks and those that can improve the health competence of patients and relatives. The state of development of such medical products is at different stages of progress. Therefore, this concept article does not provide a review of existing products but rather deals with the fundamental interplay of potential solutions in the prevention of Alzheimer dementia in the areas of cognitive health and cognitive safety.
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Affiliation(s)
- Emrah Düzel
- Institut für Kognitive Neurologie und Demenzforschung, Medizinische Fakultät, Universität Magdeburg, Leipziger Str 44, 39120, Magdeburg, Deutschland.
| | - Jochen René Thyrian
- Deutsches Zentrum für Neurodegenerative Erkrankungen, Standort Greifswald, Greifswald, Deutschland
- Lebenswissenschaftliche Fakultät (LWF), Universität Siegen, Siegen, Deutschland
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Matsuda A, Asayama K, Obara T, Yagi N, Ohkubo T. Behavioral changes of preventive activities of influenza among children in satellite cities of a metropolitan area of Tokyo, Japan, by the COVID-19 pandemic. BMC Public Health 2023; 23:727. [PMID: 37085782 PMCID: PMC10119014 DOI: 10.1186/s12889-023-15606-x] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2022] [Accepted: 04/04/2023] [Indexed: 04/23/2023] Open
Abstract
OBJECTIVE In children in a metropolitan area of Tokyo, Japan, behavioral change and influenza infection associated with the frequency of nonpharmaceutical interventions (NPI) was assessed from the 2018-2019 season (Preseason) and the 2020-2021 season (coronavirus disease 2019 [COVID-19] season). METHODS We conducted an exclusive survey among children attending preschool, elementary school, and junior high school in the Toda and Warabi regions, Japan, during the 2018-2019 (Preseason, distributed via mail) and 2020-2021 seasons (COVID-19 season, conducted online). The proportion of preventive activities (hand washing, face mask-wearing, and vaccination) was compared in the Preseason with that of the COVID-19 season. The multivariate logistic regression model was further applied to calculate the adjusted odds ratio (AOR) with 95% confidence intervals (CIs) for influenza infection associated with NPI frequency (hand washing and face mask wearing) in each Preseason and COVID-19 season. RESULTS The proportion of vaccinated children who carried out hand washing and face mask wearing was remarkably higher during the COVID-19 season (48.8%) than in the Preseason (18.2%). A significant influenza infection reduction was observed among children who washed hands and wore face masks simultaneously (AOR, 0.87; 95% CI, 0.76-0.99; P = 0.033). CONCLUSIONS A strong interest and performance in the intensive measures for the prevention of influenza under the COVID-19 pandemic was demonstrated. Positive association was observed from a combination of NPI, hand washing, and face mask-wearing and influenza infection. This study's findings could help in activities or preventive measures against influenza and other communicable diseases in children.
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Affiliation(s)
- Ayako Matsuda
- Center for Health Informatics policy, National Institute of Public Health, 2-3-6 Minami, Wako-Shi, 351-0197, Saitama, Japan.
| | - Kei Asayama
- Department of Hygiene and Public Health, Teikyo University School of Medicine, Tokyo, Japan
- Tohoku Institute for Management of Blood Pressure, Sendai, Japan
- Research Unit Hypertension and Cardiovascular Epidemiology, KU Leuven Department of Cardiovascular Sciences, University of Leuven, Leuven, Belgium
| | - Taku Obara
- Tohoku Medical Megabank Organization, Tohoku University, Sendai, Japan
| | - Naoto Yagi
- Warabi-Toda Medical Association, Toda, Japan
| | - Takayoshi Ohkubo
- Department of Hygiene and Public Health, Teikyo University School of Medicine, Tokyo, Japan
- Tohoku Institute for Management of Blood Pressure, Sendai, Japan
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20
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Rentería E, Gómez-Casillas A, Zueras P. Who wears the face mask? Preventive measures against COVID-19 in Latin America before vaccination. Public Health 2023; 219:154-156. [PMID: 37201416 DOI: 10.1016/j.puhe.2023.04.002] [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: 02/21/2023] [Revised: 03/29/2023] [Accepted: 04/03/2023] [Indexed: 05/20/2023]
Abstract
OBJECTIVES We analyze the profile of adults who used a mask in the context of the COVID-19 pandemic in Latin America, between October and November 2020, right before the mass vaccination campaigns. STUDY DESIGN Based on the Latinobarometer 2020 data, we assess the individual, regional, cultural and political factors of people who used a mask in the context of the COVID-19 pandemic in 18 countries of Latin America. METHODS We applied a logistic regression to model the probability of using the mask regularly to avoid being infected with the COVID-19 virus. RESULTS Women, older people, those with higher education, those being employed and not working in temporarily jobs, retirees, students, people with a centrist political ideology, and Catholics had a higher chance of using a face mask on a regular basis. People living in Venezuela, Chile, Costa Rica and Brazil were the most likely to use face masks. CONCLUSION These results highlight the need to understand the social forces behind the willingness to adopt non-pharmacological preventive measures to make them more effective in health crisis emergencies.
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Affiliation(s)
- E Rentería
- Centre D'Estudis Demogràfics, C/Ca N'Altayó Edifici E2, 08193, Bellaterra, Spain
| | - A Gómez-Casillas
- Centre D'Estudis Demogràfics, C/Ca N'Altayó Edifici E2, 08193, Bellaterra, Spain.
| | - P Zueras
- Centre D'Estudis Demogràfics, C/Ca N'Altayó Edifici E2, 08193, Bellaterra, Spain; University of Essex and Centre D'Estudis Demogràfics, C/Ca N'Altayó Edifici E2, 08193, Bellaterra, Spain
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21
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Ali MF, Irfan R, Lashari TA. Comprehensive sentimental analysis of tweets towards COVID-19 in Pakistan: a study on governmental preventive measures. PeerJ Comput Sci 2023; 9:e1220. [PMID: 37346645 PMCID: PMC10280596 DOI: 10.7717/peerj-cs.1220] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2022] [Accepted: 12/28/2022] [Indexed: 06/23/2023]
Abstract
Sentiments are the key factors that lead to influence our behavior. Sentiment analysis is a technique that analyzes people's behaviors, attitudes, and emotions toward a service, product, topic, or event. Since 2020, no country has remained untouched by COVID-19, and the governing bodies of most countries have been applying several anti-pandemic countermeasures to combat it. In this regard, it becomes tremendously important to analyze people's sentiments when tackling infectious diseases similar to COVID-19. The countermeasures taken by any country to control the pandemic leave a direct and crucial impact on each sector of public life, and every individual reacts to them differently. It is necessary to consider these reactions to implement appropriate messaging and decisive policies. Pakistan has done enough to control this virus's spread like every other country. This research aims to perform a sentimental analysis on the famous microblogging social platform, Twitter, to get insights into public sentiments and the attitudes displayed towards the precautionary steps taken by the Government of Pakistan in the years 2020 and 2021. These steps or countermeasures include the closure of educational institutes, suspension of flight operations, lockdown of business activities, enforcement of several standard operating procedures (SOPs), and the commencement of the vaccination program. We implemented four approaches for the analysis, including the Valence Aware Dictionary and sEntiment Reasoner (VADER), TextBlob, Flair, and Bidirectional Encoder Representations from Transformers (BERT). The first two techniques are lexicon-based. Flair is a pre-trained embedding-based approach, whereas BERT is a transformer-based model. BERT was fine-tuned and trained on a labeled dataset, achieving a validation accuracy of 92%. We observed that the polarity score kept varying from month to month in both years for all countermeasures. This score was analyzed with real-time events occurring in the country, which helped understand the public's sentiment and led to the possible formation of a notable conclusion. All implemented approaches showed independent performances. However, we noticed from the classification results of both TextBlob and the fine-tuned BERT model that neutral sentiment was dominant in the data, followed by positive sentiment.
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22
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Ogo NI, Weka R, Nnabuife HE, Uchendu C, Obeta S, Opara M. Knowledge, Attitudes, and Practices of Pastoralists Towards Tick Bites, and Tick Control in Plateau State, Nigeria. Acta Parasitol 2023:10.1007/s11686-023-00670-5. [PMID: 36976439 DOI: 10.1007/s11686-023-00670-5] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2022] [Accepted: 03/07/2023] [Indexed: 03/29/2023]
Abstract
PURPOSE Pastoralists regularly come in contact with ticks as they herd their animals and are exposed to pathogens that cause zoonotic diseases. No study has been conducted in Nigeria to evaluate the knowledge, attitudes, and practices (KAP) of these Pastoralists towards ticks, tick bite, and tick control, and thus this research. METHODS A KAP survey of pastoralists (n = 119) was conducted in Plateau State, Nigeria. Data generated were analysed using Statistical Package for Social Sciences (SPSS). RESULTS The majority of the pastoralists (99.2%) had knowledge of ticks, with 79% of them being aware that ticks attach and bite humans, whereas only 30.3% believed that ticks transmit diseases to humans. Eighty-four per cent of the pastoralists do not wear protective clothing while herding their animals and 81.5% indicated to having been bitten by ticks, whereas hospital visit after tick bite was low (7.6%). Statistically significant variables were observed when knowledge of the respondents were compared in relation to the ability of ticks to cause diseases (Χ2 = 9.980, P = 0.007); hospital visit after a bite (Χ2 = 11.453, P = 0.003); and the use of protective clothing for herding (Χ2 = 22.596, P = 0). The main tick control measure was hand picking (58.8%). CONCLUSIONS The pastoralists were unaware of the ability of ticks to transmit zoonotic pathogens. Preventive practices were insufficient to reduce tick bites, and thus were constantly exposed to tick-borne diseases. This study hopes to provide important insights for the development of educational awareness programmes for the pastoralists and serve as a guide for the health workers in designing future preventive programmes against tick-borne zoonoses in Nigeria.
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Affiliation(s)
- Ndudim Isaac Ogo
- Parasitology Division, National Veterinary Research Institute, Vom, Plateau State, Nigeria.
| | - Rebecca Weka
- Parasitology Division, National Veterinary Research Institute, Vom, Plateau State, Nigeria
| | - Henry Ekene Nnabuife
- Parasitology Division, National Veterinary Research Institute, Vom, Plateau State, Nigeria
| | - Chidebere Uchendu
- Department of Physiology, Biochemistry and Pharmacology, Faculty of Veterinary Medicine, University of Jos, Jos, Plateau State, Nigeria
| | - Sylvester Obeta
- Department of Veterinary Parasitology and Entomology, University of Abuja, Abuja, Nigeria
| | - Maxwell Opara
- Department of Veterinary Parasitology and Entomology, University of Abuja, Abuja, Nigeria
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23
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Akfırat S, Bayrak F, Üzümçeker E, Ergiyen T, Yurtbakan T, Uysal MS. The roles of social norms and leadership in health communication in the context of COVID-19. Soc Sci Med 2023; 323:115868. [PMID: 36963212 PMCID: PMC10030439 DOI: 10.1016/j.socscimed.2023.115868] [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: 05/18/2022] [Revised: 02/28/2023] [Accepted: 03/20/2023] [Indexed: 03/24/2023]
Abstract
The global struggle with the COVID-19 pandemic has lasted for almost three years. Although national and local leaders have often called on the public to comply with preventive measures through health communication, large sections of society sometimes violated precautions and did not adequately follow these calls. We propose that social norms and leaders' identity entrepreneurship characteristics could be essential in effective health communication. In line with this notion, we investigated the effects of social norm types and leadership on complying with preventive measures, the intention to be vaccinated, and prosocial behavioral tendency through a high-powered experiment that focused on three factors: leadership quality (presence/lack of entrepreneurship), descriptive norm (supportive/obstructive), and injunctive norm (supportive/obstructive). Results showed that when support for injunctive and descriptive norms was present, people tended to more readily adhere to preventive measures, get vaccinated, and engage in prosocial behavior. There was also a significant effect of the interaction between descriptive and injunctive norms on compliance with preventive measures. The compliance level was highest when both norm types were supportive and lowest when both were obstructive. The effect decreased in the discrepant norms condition, where one type of norm was supportive and the other obstructive. There is also a significant interaction between leadership and the descriptive norm, indicating that a combination of an entrepreneur leader and a supportive descriptive norm increases compliance with the preventive measure. We discussed the role of leadership and social norms in effective health communication.
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Affiliation(s)
- Serap Akfırat
- Dokuz Eylul University, Department of Psychology, Turkiye.
| | - Fatih Bayrak
- Baskent University, Department of Psychology, Turkiye
| | - Emir Üzümçeker
- Dokuz Eylul University, Department of Psychology, Turkiye
| | - Tolga Ergiyen
- Izmir University of Economics, Department of Psychology, Turkiye
| | | | - Mete Sefa Uysal
- Friedrich Schiller University Jena, Department of Social Psychology, Germany
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24
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Bianchi I, Pradella F, Vitale G, De Luca S, Castello FP, Focardi M, Pinchi V. A Survey on forensic odontologists' activity in Italy during the COVID-19 pandemic. Forensic Sci Int 2023; 345:111638. [PMID: 36921373 PMCID: PMC9988697 DOI: 10.1016/j.forsciint.2023.111638] [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: 10/11/2022] [Revised: 01/25/2023] [Accepted: 03/02/2023] [Indexed: 03/09/2023]
Abstract
Few information on virus contagion at the beginning of the covid-19 pandemic led to severe restrictions in the dental and forensic activity in Italy, the introduction of procedural guidelines and implementation of preventive measures. A specific survey on Italian forensic odontologists (FOds) activity was conducted to investigate the COVD-19 pandemic impact on daily practices, the preventive measures adopted to manage the risks of contagion procedures performed on living and dead people and the possible peculiar cases that required the intervention of a medical examiner. A total of 122 FOds answered, mostly males over 46 years coming from northern Italy. The results highlight the lack of specific guidelines for the procedures on living people compared to those on the dead but the regulations for the daily clinical practice resulted more than sufficient: in fact, more than 80% of FOds adopted the preventive and safety measures provided for dental practices. The forensic activity significantly decreased during the initial period (more than 75%) and gradually normalized to pre-pandemic numbers in approximately 50% of cases after the implementation of the vaccination campaign. 13 cases of occupational contagion have been reported, most of them (more than 85%) in northern and central Italy. In two cases members of the dental staff sued the employer for responsibility in the contagion. The decrease of the overall ID activity during the pandemic time can be more likely attributed to the of the dental data than the real impact of the pandemic regulations. The use of telematic tools, such as teleconferences, for many procedures proved to be an important resource useful for application even in post-pandemic times.
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Affiliation(s)
- Ilenia Bianchi
- "Laboratory of Personal Identification and Forensic Morphology", Department of Health Sciences, University of Florence, Largo Brambilla 3, 50134 Florence, Italy.
| | - Francesco Pradella
- "Laboratory of Personal Identification and Forensic Morphology", Department of Health Sciences, University of Florence, Largo Brambilla 3, 50134 Florence, Italy
| | - Giulia Vitale
- "Laboratory of Personal Identification and Forensic Morphology", Department of Health Sciences, University of Florence, Largo Brambilla 3, 50134 Florence, Italy
| | - Stefano De Luca
- AgEstimation Project, Department of Medicine and Health Sciences "Vincenzo Tiberio", University of Molise, Italy; Panacea Cooperative Research S. Coop., Ponferrada, Spain
| | - Fiorella Pia Castello
- "Laboratory of Personal Identification and Forensic Morphology", Department of Health Sciences, University of Florence, Largo Brambilla 3, 50134 Florence, Italy
| | - Martina Focardi
- "Laboratory of Personal Identification and Forensic Morphology", Department of Health Sciences, University of Florence, Largo Brambilla 3, 50134 Florence, Italy
| | - Vilma Pinchi
- "Laboratory of Personal Identification and Forensic Morphology", Department of Health Sciences, University of Florence, Largo Brambilla 3, 50134 Florence, Italy
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25
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Tandjaoui-Lambiotte Y, Lomont A, Moenne-Locoz P, Seytre D, Zahar JR. Spread of viruses, which measures are the most apt to control COVID-19? Infect Dis Now 2023; 53:104637. [PMID: 36526247 PMCID: PMC9746078 DOI: 10.1016/j.idnow.2022.12.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [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: 11/11/2022] [Revised: 11/22/2022] [Accepted: 12/06/2022] [Indexed: 12/15/2022]
Abstract
The persistent debate about the modes of transmission of SARS-CoV2 and preventive measures has illustrated the limits of our knowledge regarding the measures to be implemented in the face of viral risk. Past and present (pandemic-related) scientific data underline the complexity of the phenomenon and its variability over time. Several factors contribute to the risk of transmission, starting with incidence in the general population (i.e., colonization pressure) and herd immunity. Other major factors include intensity of symptoms, interactions with the reservoir (proximity and duration of contact), the specific characteristics of the virus(es) involved, and a number of unpredictable elements (humidity, temperature, ventilation…). In this review, we will emphasize the difficulty of "standardizing" the situations that might explain the discrepancies found in the literature. We will show that the airborne route remains the main mode of transmission. Regarding preventive measures of prevention, while vaccination remains the cornerstone of the fight against viral outbreaks, we will remind the reader that wearing a mask is the main barrier measure and that the choice of type of mask depends on the risk situations. Finally, we believe that the recent pandemic should induce us in the future to modify our recommendations by adapting our measures in hospitals, not to the pathogen concerned, which is currently the case, but rather to the type of at-risk situation.
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Affiliation(s)
- Y Tandjaoui-Lambiotte
- Service de Pneumologie-Infectiologie, CH Saint Denis, 2 rue Dr. Delafontaine, 93200, France
| | - A Lomont
- Unité de Prévention du Risque Infectieux, Service de microbiologie clinique, GHU Paris Seine Saint-Denis, Université Sorbonne Paris Nord, France
| | - P Moenne-Locoz
- Unité de Prévention du Risque Infectieux, Service de microbiologie clinique, GHU Paris Seine Saint-Denis, Université Sorbonne Paris Nord, France
| | - D Seytre
- Unité de Prévention du Risque Infectieux, Service de microbiologie clinique, GHU Paris Seine Saint-Denis, Université Sorbonne Paris Nord, France
| | - J R Zahar
- Unité de Prévention du Risque Infectieux, Service de microbiologie clinique, GHU Paris Seine Saint-Denis, Université Sorbonne Paris Nord, France.
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26
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LO MORO GIUSEPPINA, SCAIOLI GIACOMO, NICOLINO SIMONE, SINIGAGLIA TIZIANA, DE VITO ELISABETTA, BERT FABRIZIO, SILIQUINI ROBERTA. Risk perception, knowledge about SARS-CoV-2, and perception towards preventive measures in Italy: a nationwide cross-sectional study. J Prev Med Hyg 2023; 64:E9-E12. [PMID: 37293465 PMCID: PMC10246605 DOI: 10.15167/2421-4248/jpmh2023.64.1.2815] [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] [Subscribe] [Scholar Register] [Received: 11/29/2022] [Accepted: 03/23/2023] [Indexed: 06/10/2023]
Abstract
Introduction After COVID-19 outbreak, governments adopted several containment measures. Risk perception and knowledge may play a crucial role since they can affect compliance with preventive measures. This study aimed to explore the extent and the associated factors of risk perception, knowledge regarding SARS-CoV2, and perception towards preventive measures among the Italian population. Methods A nationwide cross-sectional study involving adults was conducted in April-May 2021: an online survey was distributed through social media. The outcomes were: Knowledge Score (KS) (0 to 100%: higher scores correspond to higher COVID-19 related knowledge); Risk Perception Score (RPS) (1 to 4: higher values indicate higher concern); Preventive measures Perception Score (PPS) (1 to 4: higher values indicate higher confidence). Multivariable regression models were performed. Results A total of 1120 participants were included. Median KS was 79.5% (IQR = 72.7%-86.4%). Lower education and poor economic conditions were negatively associated with the KS. Median RPS was 2.8 (IQR = 2.4-3.2). Female gender, sharing house with a fragile person, suffering from a chronic disease, having a family member/close friend who contracted SARS-CoV-2 infection were positively associated with the RPS. Median PPS was 3.1 (IQR = 2.8-3.4). Lower educational level was negatively associated with the PPS. Vaccine hesitancy was negatively associated with all three outcomes. The three scores were positively associated with each other. Conclusions Fair levels of knowledge, risk perception and perception towards preventive measures were reported. Reciprocal relationships between the outcomes and a relevant relationship with vaccine hesitancy were highlighted. Further investigations should be focused on studying underlying determinants and consequences.
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Affiliation(s)
| | - GIACOMO SCAIOLI
- Department of Public Health Sciences, University of Turin, Turin, Italy
- Infection Control Unit, ASL TO3, Turin, Italy
| | - SIMONE NICOLINO
- Department of Public Health Sciences, University of Turin, Turin, Italy
| | | | - ELISABETTA DE VITO
- Department of Human, Social and Health Sciences, University of Cassino and Southern Lazio, Cassino, Italy
| | - FABRIZIO BERT
- Department of Public Health Sciences, University of Turin, Turin, Italy
- Infection Control Unit, ASL TO3, Turin, Italy
| | - ROBERTA SILIQUINI
- Department of Public Health Sciences, University of Turin, Turin, Italy
- AOU City of Health and Science of Turin, Turin, Italy
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27
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Michel L, Totzeck M, Rassaf T. [2022 ESC guidelines on cardio-oncology : Understanding and treating cardiovascular side effects from cancer therapy]. Herz 2023; 48:15-22. [PMID: 36441175 DOI: 10.1007/s00059-022-05149-z] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/19/2022] [Indexed: 11/29/2022]
Abstract
The continuous improvement in cancer treatment leads to a growing number of long-term survivors. Arguably, the treatment of cardiovascular side effects from cancer therapy is therefore of major importance for the morbidity and mortality affected patients. The 2022 ESC guidelines on cardio-oncology of the European Society of Cardiology (ESC) aim to improve the treatment of affected patients across the entire continuum of therapy and in the long term by establishing standardized procedures for prevention, diagnostics, and treatment of cardiovascular side effects. Suitable diagnostic and therapeutic measures for specific substance classes are defined on the basis of fundamental recommendations for cardio-oncological care in individual therapy phases. Furthermore, the guidelines provide a comprehensive focus on individual risk assessment before the start of therapy as the basis for determining the type and intensity of cardio-oncological care in the further course. In addition, the risk assessment serves as a basis for the initiation of suitable preventive measures to avoid or minimize the development of cardiovascular side effects during therapy. The present article provides an overview of the most important innovations of the 2022 ESC guidelines on cardio-oncology with respect to general definitions and recommendations as well as a summary of the most important recommendations for some specific forms of therapy with relevance for cardio-oncology in the future.
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Affiliation(s)
- Lars Michel
- Department of Cardiology and Vascular Medicine, West German Heart and Vascular Center, Medical Faculty, University Hospital Essen, Hufelandstr. 55, 45147, Essen, Deutschland
| | - Matthias Totzeck
- Department of Cardiology and Vascular Medicine, West German Heart and Vascular Center, Medical Faculty, University Hospital Essen, Hufelandstr. 55, 45147, Essen, Deutschland
| | - Tienush Rassaf
- Department of Cardiology and Vascular Medicine, West German Heart and Vascular Center, Medical Faculty, University Hospital Essen, Hufelandstr. 55, 45147, Essen, Deutschland.
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28
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Spetzger U. Enhance Safety in Aneurysm Surgery: Strategies for Prevention of Intraoperative Vascular Complications. Acta Neurochir Suppl 2023; 130:53-64. [PMID: 37548724 DOI: 10.1007/978-3-030-12887-6_8] [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] [Indexed: 08/08/2023]
Abstract
Complications during surgery for intracranial aneurysms can be devastating. Notorious pitfalls include premature rupture, parent vessel occlusion, local cerebral injury and brain contusion, and incomplete neck obliteration. These unfavorable intraoperative events can result in major neurological deficits with permanent morbidity and even mortality. Herein, the author highlights the relevant surgical strategies used in his daily practice of aneurysm surgery (e.g., aneurysm clipping with adenosine-induced temporary cardiac arrest), application of which may help prevent vascular complications and enhance surgical safety through reduction of the associated risks, thus allowing improvement of postoperative outcomes. Overall, all described methods and techniques should be considered as small pieces in the complex puzzle of prevention of vascular complications during aneurysm surgery.
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Affiliation(s)
- Uwe Spetzger
- Department of Neurosurgery, Klinikum Karlsruhe, Karlsruhe, Germany.
- Faculty of Computer Science, Institute for Anthropomatics, Karlsruhe Institute of Technology (KIT), Karlsruhe, Germany.
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29
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Arraez MA, Arraez-Manrique C, Ros B, Ibañez G. Major Internal Carotid Artery Injury During Endoscopic Skull Base Surgery: Case Report. Acta Neurochir Suppl 2023; 130:19-23. [PMID: 37548719 DOI: 10.1007/978-3-030-12887-6_3] [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] [Indexed: 08/08/2023]
Abstract
Major vascular structures are always at risk during complex skull base surgery, particularly with use of the endoscopic endonasal approach, and intraoperative damage of the internal carotid artery (ICA) can be a devastating complication. Herein, we report a case of a young patient who had a major injury of the left ICA during endoscopic resection of a recurrent petrous bone chordoma. Massive bleeding was controlled by a Foley balloon inserted and kept in the resection area. Urgent angiography revealed a persistent leak from the petrous segment of the left ICA, and the vessel was sacrificed with coiling, since a balloon occlusion test showed good collateral blood flow. The patient woke up from anesthesia without a neurological deficit. Salvage resection of recurrent skull base neoplasms deserves specific attention because of the possibility of major vascular damage. In cases of intraoperative ICA injury, its management requires immediate decisions, and the available possibilities for endovascular therapy should always be considered.
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Affiliation(s)
- Miguel A Arraez
- Department of Neurosurgery, Malaga University Hospital, University of Malaga, Malaga, Spain.
| | - Cinta Arraez-Manrique
- Department of Neurosurgery, Malaga University Hospital, University of Malaga, Malaga, Spain
| | - Bienvenido Ros
- Department of Neurosurgery, Malaga University Hospital, University of Malaga, Malaga, Spain
| | - Guillermo Ibañez
- Department of Neurosurgery, Malaga University Hospital, University of Malaga, Malaga, Spain
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30
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Zhang C, Wang P, Wang E, Chen D, Li C. Characteristics of coal resources in China and statistical analysis and preventive measures for coal mine accidents. Int J Coal Sci Technol 2023; 10:22. [PMID: 37096157 PMCID: PMC10111318 DOI: 10.1007/s40789-023-00582-9] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/08/2022] [Revised: 12/25/2022] [Accepted: 03/06/2023] [Indexed: 05/03/2023]
Abstract
In the process of green and smart mine construction under the context of carbon neutrality, China's coal safety situation has been continuously improved in recent years. In order to recognize the development of coal production in China and prepare for future monitoring and prevention of safety incidents, this study mainly elaborated on the basic situation of coal resources and national mining accidents over the past five years (2017-2021), from four dimensions (accident level, type, region, and time), and then proposed the preventive measures based on accident statistical laws. The results show that the storage of coal resources has obvious geographic characteristics, mainly concentrated in the Midwest, with coal resources in Shanxi and Shaanxi accounting for about 49.4%. The proportion of coal consumption has dropped from 70.2% to 56% between 2011 and 2021, but still accounts for more than half of the all. Meanwhile, the accident-prone areas are positively correlated with the amount of coal production. Among different levels of coal mine accidents, general accidents had the highest number of accidents and deaths, with 692 accidents and 783 deaths, accounting for 87.6% and 54.64% respectively. The frequency of roof, gas, and transportation accidents is relatively high, and the number of single fatalities caused by gas accidents is the largest, about 4.18. In terms of geographical distribution of accidents, the safety situation in Shanxi Province is the most severe. From the time distribution of coal mine accidents, the accidents mainly occurred in July and August, and rarely occurred in February and December. Finally, the "4 + 4" safety management model is proposed, combining the statistical results with coal production in China. Based on the existing health and safety management systems, the managements are divided into four sub-categories, and more specific measures are suggested.
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Affiliation(s)
- Chaolin Zhang
- Key Laboratory of Gas and Fire Control for Coal Mines, Ministry of Education, School of Safety Engineering, China University of Mining and Technology, Xuzhou, 221116 Jiangsu China
- State Key Laboratory of Coal Resources and Safe Mining, China University of Mining and Technology, Xuzhou, 221116 Jiangsu China
| | - Peizhong Wang
- Key Laboratory of Gas and Fire Control for Coal Mines, Ministry of Education, School of Safety Engineering, China University of Mining and Technology, Xuzhou, 221116 Jiangsu China
| | - Enyuan Wang
- Key Laboratory of Gas and Fire Control for Coal Mines, Ministry of Education, School of Safety Engineering, China University of Mining and Technology, Xuzhou, 221116 Jiangsu China
- State Key Laboratory of Coal Resources and Safe Mining, China University of Mining and Technology, Xuzhou, 221116 Jiangsu China
| | - Dapeng Chen
- Key Laboratory of Gas and Fire Control for Coal Mines, Ministry of Education, School of Safety Engineering, China University of Mining and Technology, Xuzhou, 221116 Jiangsu China
| | - Chao Li
- Shaanxi Coal Chemical Industry Technology Research Institute Co., LTD, Xi’an, 710054 Shaanxi China
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Oka K, Honda Y, Hui Phung VL, Hijioka Y. Potential effect of heat adaptation on association between number of heatstroke patients transported by ambulance and wet bulb globe temperature in Japan. Environ Res 2023; 216:114666. [PMID: 36328225 DOI: 10.1016/j.envres.2022.114666] [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] [Subscribe] [Scholar Register] [Received: 07/25/2022] [Revised: 09/16/2022] [Accepted: 10/24/2022] [Indexed: 06/16/2023]
Abstract
This study analyzed the association between heatstroke incidence and daily maximum wet bulb globe temperature (WBGT) for all 47 prefectures in Japan by age group and severity using time-series analysis, controlling for confounders, such as seasonality and long-term trends. With the obtained association, the relative risk between the reference WBGT (defined as the value at which heatstroke starts to increase) and the daily maximum WBGT at 30 °C (RRwbgt30) of each prefecture were calculated. For the heatstroke data, the daily number of heatstroke patients transported by ambulance at the prefecture level, provided by the Fire and Disaster Management Agency, was utilized. The analysis was conducted for age groups of 7-17 y, 18-64 y, and ≥65 y, and for severity of Deceased, Severe, Moderate (combined as DSM), and Mild. The analysis period was set from May 1 to September 30, 2015-2019. Finally, the correlation between RRwbgt30 and the average daily maximum WBGT during the analysis period (aveWBGTms) of each prefecture was analyzed to examine the regionality of heatstroke incidence. The result showed that RRwbgt30 is negatively correlated with aveWBGTms for the age group 18-64 y and ≥65 y (except for the age group 7-17 y) and for severity. The natural logarithm of the RRwbgt30 of all 47 prefectures ranged from 2.0 to 8.2 for the age group 7-17 y, 1.1 to 4.0 for the age group 18-64 y, 1.8 to 6.0 for the age group ≥65 y, and 1.0 to 3.6 for DSM, and 0.9 to 4.0 for Mild. This regionality can be attributed to the effects of heat adaptation, where people in hotter regions are accustomed to implementing measures against hot environments and are more heat acclimatized than people in cooler regions.
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Affiliation(s)
- Kazutaka Oka
- Center for Climate Change Adaptation, National Institute for Environmental Studies, 16-2 Onogawa, Tsukuba, Ibaraki, 305-8506, Japan.
| | - Yasushi Honda
- Center for Climate Change Adaptation, National Institute for Environmental Studies, 16-2 Onogawa, Tsukuba, Ibaraki, 305-8506, Japan
| | - Vera Ling Hui Phung
- Center for Climate Change Adaptation, National Institute for Environmental Studies, 16-2 Onogawa, Tsukuba, Ibaraki, 305-8506, Japan
| | - Yasuaki Hijioka
- Center for Climate Change Adaptation, National Institute for Environmental Studies, 16-2 Onogawa, Tsukuba, Ibaraki, 305-8506, Japan
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Hongo K, Sakai K, Goto T, Horiuchi T. Injury of the Internal Carotid Artery During Dissection of a Craniopharyngioma via the Pterional Approach: Case Report. Acta Neurochir Suppl 2023; 130:37-40. [PMID: 37548721 DOI: 10.1007/978-3-030-12887-6_5] [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] [Indexed: 08/08/2023]
Abstract
Among the various causes of intraoperative neurosurgical complications, a major arterial injury is one of the most devastating. Herein, the authors present a case of a 76-year-old patient who underwent removal of a craniopharyngioma via the pterional approach and experienced severe damage of her sclerotic left internal carotid artery because it was retracted excessively by a brain spatula, which resulted in complete sacrifice of the vessel. Despite stable parameters on intraoperative monitoring of motor evoked potentials and sufficient collateral blood flow, confirmed by Doppler flowmetry, a large infarct in the left cerebral hemisphere was noted after surgery. Although retraction of movable arteries, veins, and cranial nerves can often be done safely during neurosurgical procedures for effective exposure of the operative field, forced displacement of a sclerotic internal carotid artery in its paraclinoid portion anchored to the fixed distal dural ring should definitely be avoided because it poses a significant risk of major vessel damage.
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Affiliation(s)
- Kazuhiro Hongo
- Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto, Japan.
| | - Keiichi Sakai
- Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto, Japan
| | - Tetsuya Goto
- Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto, Japan
- Department of Neurosurgery, St. Marianna University School of Medicine, Kawasaki, Kanagawa, Japan
| | - Tetsuyoshi Horiuchi
- Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto, Japan
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Quigley DG. Complication Avoidance in Neurosurgery with Use of Intraoperative Ultrasonography. Acta Neurochir Suppl 2023; 130:135-140. [PMID: 37548733 DOI: 10.1007/978-3-030-12887-6_17] [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] [Indexed: 08/08/2023]
Abstract
Intraoperative ultrasonography is an extremely valuable tool for avoidance of complications during neurosurgical procedures, including resection of intracranial and spinal cord tumors, removal of spontaneous intracerebral hemorrhages and arteriovenous malformations, and ventricular access for shunt placements. Nevertheless, application of this highly useful technique may be accompanied by some challenges and difficulties, as well as human errors; thus, it requires specific knowledge and continuous training.
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Lim S, Sohn M. How to cope with emerging viral diseases: lessons from South Korea's strategy for COVID-19, and collateral damage to cardiometabolic health. Lancet Reg Health West Pac 2023; 30:100581. [PMID: 36093123 PMCID: PMC9442269 DOI: 10.1016/j.lanwpc.2022.100581] [Citation(s) in RCA: 9] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
South Korea is a unique country in many aspects in terms of its strategy against the COVID-19 pandemic. From February 2020, the South Korean government adopted active epidemiological investigations, strict isolation of affected patients, and extensive public lockdowns, which were helpful in controlling spread until the end of 2021. This stable situation in South Korea has changed dramatically since the Omicron variant-reportedly less severe but more infective than the original strain-became dominant from January 2022. From mid-February to mid-April 2022, daily cases of COVID-19 in South Korea increased steeply, reaching > 600,000 cases/day: the highest incidence rate in the world at that time. Despite this rapid increase, the South Korean government has eased its preventive strategies progressively, based on the belief in the efficacy of >80% of vaccine coverage in the population. Now, in June 2022, the COVID-19 situation in South Korea is improving. The mortality rate is 0·13%: the lowest among the 30 countries with the highest case counts. High vaccine coverage rate (87·7%), the efficient healthcare system, and active co-operation between private sectors and the central government seem to have contributed to this. However, it should also be noted that the COVID-19 pandemic and its preventive measures have had a negative influence on cardiometabolic profiles in the country. Considering the likelihood of another novel variant of SARS-CoV-2 or new infectious disease emerging in the future, understanding the situation in South Korea and the strategies flexibly adopted by its government could be beneficial for many countries.
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Kalinovskiy AV, Rzaev JA. Cottonoid Retention After Craniotomy: Causes and Ways to Avoid It. Acta Neurochir Suppl 2023; 130:127-133. [PMID: 37548732 DOI: 10.1007/978-3-030-12887-6_16] [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] [Indexed: 08/08/2023]
Abstract
Nonabsorbable surgical material left in an surgical wound may cause early postoperative infections and specific types of granulomas; thus, it represents a dangerous complication in neurosurgery. The authors have analyzed their experience and present four cases of cottonoid retention after intracranial tumor resection. During 5-year period (from 2013 until 2017), the incidence of such an undesirable event after craniotomy for various indications was 0.07%. It was not related to the professional experience of the operating neurosurgeon, but cases of deep-seated lesions, the presence of brain edema or excessive bleeding of neoplastic or peritumoral tissue, prolonged surgeries, use of cottonoids without marking thread, and inadequate counting of disposable surgical materials at the end of the procedure may increase the risk of this complication. In all of the presented cases, the retained cottonoids were clearly seen on postoperative computed tomography because of the presence of radiopaque identifiers. All of the patients underwent an urgent reoperation for removal of the foreign body within 24 h after completion of the primary surgery, and they subsequently experienced an uneventful postoperative course without any complications. Well-coordinated work of the surgical team-in particular, appropriate communication between the surgeon and the circulating nurse during counting of surgical materials at the end of the procedure-is absolutely necessary for prevention of cottonoid retention after brain surgery.
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Affiliation(s)
- Anton V Kalinovskiy
- Federal Neurosurgical Center of the Ministry of Health of Russia, Novosibirsk, Russia.
| | - Jamil A Rzaev
- Federal Neurosurgical Center of the Ministry of Health of Russia, Novosibirsk, Russia
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Rasulić L, Lepić M, Savić A, Novaković N, Kovačević V, Vitošević F, Samardžić M. Managing Complications Related to Peripheral Nerve Surgery: Selected Illustrative Cases. Acta Neurochir Suppl 2023; 130:191-196. [PMID: 37548739 DOI: 10.1007/978-3-030-12887-6_23] [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] [Indexed: 08/08/2023]
Abstract
Peripheral nerve surgery mostly involves elective procedures; thus, the associated complications are of great clinical, social, and medicolegal importance. Apart from the general perioperative morbidity, complications during interventions on peripheral nerves are extremely rare. However, iatrogenic peripheral nerve injuries during unrelated surgical procedures performed by those not specialised in peripheral nerve surgery remain the most significant group of complications, accounting for up to approximately 17% of all cases. The aims of this review are to provide better insight into the multifaceted nature of complications related to peripheral nerve surgery-from the perspective of their causes, treatment, and outcome-and to raise surgeons' awareness of the risks of such morbidity. It should be emphasized that intraoperative complications in peripheral nerve surgery are largely "surgeon-related" rather than "surgery-related"; therefore, they have great potential to be avoided.
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Affiliation(s)
- Lukas Rasulić
- Faculty of Medicine, University of Belgrade, Belgrade, Serbia.
- Department for Peripheral Nerve Surgery, Functional Neurosurgery and Pain Management Surgery, Clinic for Neurosurgery, University Clinical Center of Serbia, Belgrade, Serbia.
| | - Milan Lepić
- Clinic for Neurosurgery, Military Medical Academy, Belgrade, Serbia
| | - Andrija Savić
- Department for Peripheral Nerve Surgery, Functional Neurosurgery and Pain Management Surgery, Clinic for Neurosurgery, University Clinical Center of Serbia, Belgrade, Serbia
| | - Nenad Novaković
- Clinic for Neurosurgery, Military Medical Academy, Belgrade, Serbia
| | - Vojin Kovačević
- Department of Neurosurgery, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia
| | - Filip Vitošević
- Neuroradiology Department, Center for Radiology and MRI, University Clinical Center of Serbia, Belgrade, Serbia
| | - Miroslav Samardžić
- Faculty of Medicine, University of Belgrade, Belgrade, Serbia
- Department for Peripheral Nerve Surgery, Functional Neurosurgery and Pain Management Surgery, Clinic for Neurosurgery, University Clinical Center of Serbia, Belgrade, Serbia
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Seifert J. [Current hygiene regulations in the operating theatre with special focus on constructional and functional measures]. Chirurgie (Heidelb) 2022; 93:1197-1206. [PMID: 35316345 PMCID: PMC8938722 DOI: 10.1007/s00104-022-01613-y] [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] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Accepted: 02/09/2022] [Indexed: 11/03/2022]
Abstract
The article provides an overview of the most important innovations in hygiene recommendations that were published in 2018 by the Committee for Hospital Hygiene and Infection Prevention (KRINKO) on the prevention of postoperative wound infections. This summarizes several older recommendations and supplements, updates and extends them. The article focusses on technical and constructional hygiene regulations for operating theaters and includes the position of the German Statutory Accident Insurance (DGUV).
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Affiliation(s)
- Julia Seifert
- Klinik für Unfallchirurgie und Orthopädie, Unfallkrankenhaus Berlin, Warenerstr. 7, 12683, Berlin, Deutschland.
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Endtricht R. [The ambivalent role of spirituality in explaining conspiracy belief and protest intentions in the context of the COVID-19 pandemic]. Z Relig Ges Polit 2022; 7:1-29. [PMID: 36407124 PMCID: PMC9651881 DOI: 10.1007/s41682-022-00134-z] [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] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 04/30/2022] [Revised: 09/02/2022] [Accepted: 10/05/2022] [Indexed: 06/16/2023]
Abstract
In the course of the COVID-19-pandemic, groups that present themselves as anchors in problem solving and provide supposed solutions for dealing with insecurities are becoming increasingly visible. There seems to be a tendency for conspiracy belief and esoteric attitudes, which are increasingly being expressed in the protests against measures to contain the pandemic. This raises the question of the role of religious affiliations and spiritual worldviews within such groups. In the present study, spirituality is differentiated and measured independently of religion in order to shed light on these questions. The results show two forms of spirituality that differ in the dimensions of worldviews and ethics, values and meaning of life. Both forms can be found in religious as well as non-religious groups. Analyses show different effects of these forms of spirituality on the openness towards alternative and esoteric explanations of the world as well as a skepticism towards science. Additionally, all spiritual elements also contribute to clarifying the belief in conspiracy stories, the support of COVID-related demonstrations and the willingness to participate in these demonstrations. Active spirituality acts as a protective factor and passive spirituality as a reinforcing (risk) factor for these phenomena. Overall, this multi-dimensional measurement of spiritual worldviews can explain attitudes relevant to conspiracy belief and protests, and in this way can break down the previous ambivalent effects of spirituality as a resilience vs. risk factor for such attitudes.
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Affiliation(s)
- Rebecca Endtricht
- Abteilung für Kriminologie, Universität Hamburg, Hamburg, Deutschland
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Nurmansyah MI, Handayani S, Kurniawan DW, Rachmawati E, Alim AM. Congregational Worshiping and Implementation of the COVID-19 Preventive Behavioral Measures During the Re-opening Phase of Worship Places Among Indonesian Muslims. J Relig Health 2022; 61:4169-4188. [PMID: 35690696 PMCID: PMC9188357 DOI: 10.1007/s10943-022-01593-7] [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] [Subscribe] [Scholar Register] [Accepted: 05/22/2022] [Indexed: 06/15/2023]
Abstract
This research aimed at exploring the congregational form of worshiping and the preventative behaviors against COVID-19 among Indonesian Muslims during the re-opening phase of worship places. One thousand and ninety-seven (1097) participants who were a part of one of the largest Indonesian socio-religious organizations (Muhammadiyah) were included in the study. This study found most of the respondents to have performed tarawih prayers (66.7%) and Eid prayers (67.4%) at home during the pandemic. Furthermore, some Muslim worshipers did not observe COVID-19 preventive behavioral measures during the congregational prayers, and the attended mosques had inadequate facilitation for COVID-19 prevention. Neverthless, mosques are important settings for health promotion programs, whose religious leaders can be partners in delivering health related messages to their attending members.
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Affiliation(s)
- Mochamad Iqbal Nurmansyah
- Faculty of Health Sciences, Universitas Islam Negeri Syarif Hidayatullah Jakarta, Jl. Kertamukti No.5, Ciputat, Tangerang Selatan, Banten, Indonesia.
| | - Sarah Handayani
- Faculty of Health Sciences, Universitas Muhammadiyah Prof. Dr. HAMKA, Jakarta, Indonesia
| | - Deni Wahyudi Kurniawan
- Faculty of Health Sciences, Universitas Muhammadiyah Prof. Dr. HAMKA, Jakarta, Indonesia
| | - Emma Rachmawati
- Faculty of Health Sciences, Universitas Muhammadiyah Prof. Dr. HAMKA, Jakarta, Indonesia
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Wijnands APG, de Vries I, Verbruggen T, Carlier MP, de Lange DW, Rietjens SJ. Acute occupational exposures reported to the Dutch Poisons Information Center: a prospective study on the root causes of incidents at the workplace. J Occup Med Toxicol 2022; 17:19. [PMID: 36064414 PMCID: PMC9441833 DOI: 10.1186/s12995-022-00360-4] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2022] [Accepted: 08/12/2022] [Indexed: 11/28/2022] Open
Abstract
BACKGROUND Hazardous substances at the workplace can cause a wide variety of occupational incidents. This study aimed to investigate the nature and circumstances of acute occupational intoxications reported to the Dutch Poisons Information Center. METHODS During a one-year prospective study, data on the circumstances and causes of the incident, the exposure(s) and clinical course, were collected by a telephone survey with victims of an acute occupational intoxication. RESULTS We interviewed 310 patients. Most incidents occurred in industry (25%), building and installation industry (14%) and agriculture (10%). Patients were often exposed via multiple routes. Inhalation was the most common route of exposure (62%), followed by ocular (40%) and dermal contact (33%). Acids and alkalis were often involved. Exposure often occurred during cleaning activities (33%). The main root causes of these accidents were: technical factors such as damaged packaging (24%) and defective apparatus (10%), organizational factors such as lack of work instructions (44%) and poor communication or planning (31%), and personal factors such as disregarding work instructions (13%), not (adequately) using personal protective equipment (12%) and personal circumstances (50%) such as inaccuracy, time pressure or fatigue. The majority of the patients only reported mild health effects and recovered quickly (77% within 1 week). CONCLUSIONS Poison Center data on occupational exposures provide an additional source of knowledge and an important basis for poisoning prevention strategies related to hazardous substances at the workplace. These data are useful in deciding which risk mitigation measures are most needed in preventing future workplace injuries.
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Affiliation(s)
- Anja P G Wijnands
- Dutch Poisons Information Center, University Medical Center Utrecht, Utrecht University, PO Box 85500, 3508 GA, Utrecht, the Netherlands.
| | - Irma de Vries
- Dutch Poisons Information Center, University Medical Center Utrecht, Utrecht University, PO Box 85500, 3508 GA, Utrecht, the Netherlands
| | - Tim Verbruggen
- Dutch Poisons Information Center, University Medical Center Utrecht, Utrecht University, PO Box 85500, 3508 GA, Utrecht, the Netherlands
| | - Maxim P Carlier
- Dutch Poisons Information Center, University Medical Center Utrecht, Utrecht University, PO Box 85500, 3508 GA, Utrecht, the Netherlands
| | - Dylan W de Lange
- Dutch Poisons Information Center, University Medical Center Utrecht, Utrecht University, PO Box 85500, 3508 GA, Utrecht, the Netherlands
- Department of Intensive Care Medicine, University Medical Center Utrecht, Utrecht University, PO Box 85500, 3508 GA, Utrecht, the Netherlands
| | - Saskia J Rietjens
- Dutch Poisons Information Center, University Medical Center Utrecht, Utrecht University, PO Box 85500, 3508 GA, Utrecht, the Netherlands
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Lepelletier D, Pozzetto B, Chauvin F, Chidiac C. Management of patients with monkeypox virus (MPXV) infection and contacts in the community and in healthcare settings: A French position paper. Clin Microbiol Infect 2022; 28:1572-1577. [PMID: 36058544 PMCID: PMC9534082 DOI: 10.1016/j.cmi.2022.08.018] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2022] [Revised: 08/22/2022] [Accepted: 08/23/2022] [Indexed: 11/24/2022]
Abstract
Scope Since April 2022, a large number of monkeypox (MPX) cases have emerged across the globe in regions that are known to be totally free of zoonotic reservoir. The High Council for Public Health is a national institute commissioned to provide guidelines to the French Ministry of Health. The objective of these guidelines and recommendations is to inform the public, people at risk of severe MPX infection, infected patients and their families and contacts and healthcare workers in charge of infected patients. Methods A review of the literature from the MEDLINE database was carried out using the single keyword ‘monkeypox’, including recent and older articles from January 2000 to June 2022. There was no filter for the type of study, except English language. The titles and summaries of all the articles were read by the experts to select articles of interest. The High Council for Public Health brought together specialists with expertise in the field to analyse the scientific literature and international recommendations. Recommendations were classified with clinical practice methodology using four levels (strong recommendation, recommendation, optional recommendation and no recommendation) without grading the level of evidence. To develop and methodologically validate the recommendations, the Appraisal of Guidelines for Research and Evaluation Instrument (AGREE-II)chart was partially used. Questions addressed by the guidelines and recommendations (a) What are the therapeutic management measures for hospitalized patients with severe forms of MPX infection, and what are the preventive measures to protect healthcare professionals? (b) What are the isolation and prevention measures in the community for patients with mild or moderate severity MPX infection? (c) what are the preventive measures for contacts of an MPX-infected person? (d) Who should be vaccinated? (e) What are the specific prevention measures for children and schools?
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Affiliation(s)
- Didier Lepelletier
- High Council for Public Health, Ministry of Solidarity and Health, Paris, FR-75015.
| | - Bruno Pozzetto
- High Council for Public Health, Ministry of Solidarity and Health, Paris, FR-75015
| | - Franck Chauvin
- High Council for Public Health, Ministry of Solidarity and Health, Paris, FR-75015
| | - Christian Chidiac
- High Council for Public Health, Ministry of Solidarity and Health, Paris, FR-75015
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- High Council for Public Health, Ministry of Solidarity and Health, Paris, FR-75015
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- High Council for Public Health, Ministry of Solidarity and Health, Paris, FR-75015
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Taghvaei R, Dimitrova D, Karaman M, Sehouli J. Knowledge and understanding risk factors and preventive measures for osteoporosis in women: results of a survey in 502 women with and without a migration background. BMC Musculoskelet Disord 2022; 23:824. [PMID: 36042427 PMCID: PMC9429362 DOI: 10.1186/s12891-022-05773-0] [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] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/29/2022] [Accepted: 08/24/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Osteoporosis is a disease of the skeletal system associated with loss of bone mass and an increased risk of fractures affecting women more often than men. Identification of the knowledge about osteoporosis and its preventive methods is the backbone of any awareness program. This study investigates the knowledge with a special focus on women with and without a migration background. METHODS Data from systematic patient interviews based on a questionnaire were collected at three different sites in Berlin between February and June 2021. The survey included questions assessing migrant background, demographic characteristics, lifestyle habits including physical exercise and smoking, prevention by vitamin D intake and bone densitometry, and information on personal and family medical history. According to the responses, a scale was created to assess the level of knowledge of preventive osteoporosis measures. The ethic committee of the Charité, Medical faculty has approved this study. SPSS (version 24.0) was used for the statistical analyses. RESULTS The survey of 502 female patients revealed that 25% had low and 34% no previous knowledge of osteoporosis. Older age and a better education level correlate with a higher knowledge. Patients with gynecologic cancer are less well informed. There is a significant difference in vitamin D intake between migrant and non-migrant women (57% vs. 49%). There were no significant differences regarding the use of bone densitometry. CONCLUSION Knowledge of osteoporosis and the possibility of a bone densitometry as well as the implementation of preventive measures is low among women. Therefore, informing patients better should be a priority, with particular attention on the risks and needs of women with a migration background. Specific programs for women with and without migration background should be developed to increase the awareness of osteoporosis.
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Affiliation(s)
- Reza Taghvaei
- Department of Gynecology with Center for Oncological Surgery, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Campus Virchow-Klinikum, Augustenburger Platz 1, 13353, Berlin, Germany
- Orthopedic Praxis Center Berlin, Berlin, Germany
| | - Desislava Dimitrova
- Department of Gynecology with Center for Oncological Surgery, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Campus Virchow-Klinikum, Augustenburger Platz 1, 13353, Berlin, Germany.
| | | | - Jalid Sehouli
- Department of Gynecology with Center for Oncological Surgery, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Campus Virchow-Klinikum, Augustenburger Platz 1, 13353, Berlin, Germany
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Hao SS, Gao ZF, Li HK, Liu S, Dong SL, Chen HL, Zhang ZF. Delayed arterial symptomatic epidural hematoma on the 14 th day after posterior lumbar interbody fusion: A case report. World J Clin Cases 2022; 10:7973-7981. [PMID: 36158505 PMCID: PMC9372828 DOI: 10.12998/wjcc.v10.i22.7973] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/02/2022] [Revised: 05/16/2022] [Accepted: 06/26/2022] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND Delayed arterial symptomatic epidural hematoma (SEH) on the 14th day after posterior lumbar interbody fusion (PLIF) is rare but it may lead to severe complications if not identified and treated in a timely manner. After diagnosis of the current case, early surgical removal of the hematoma and strict hemostasis treatment was accomplished. This case report highlights the importance of swift diagnosis and treatment in SEH patients.
CASE SUMMARY A 41-year-old male patient with a single-segment lumbar disc herniation underwent left-side PLIF. On the 14th post-operative day, the patient complained of lumbar incision pain with sudden onset accompanied by left limb radiation pain and aggravated cauda equina symptoms. Magnetic resonance imaging examination and a puncture blood draw at the incision site confirmed a delayed arterial SEH. Emergency surgical removal of the hematoma and hemostasis was performed. About 70 mL of hematoma was found in the left incision. Continuous bleeding was found in the anterior branch of the transverse process of the 4th lumbar artery in the muscle area about 2 cm below the transverse process of the 4th lumbar vertebra. A blood jet of about 10 cm in height was observed and bipolar electrocoagulation was used to stop the bleeding. Post-operative lumbar incision pain and left lower limb pain were relieved immediately and gradually disappeared. There was no recurrence during the 12-mo follow-up.
CONCLUSION For delayed arterial SEH on the 14th day after PLIF, preventive measures including pre-, intra- and post-operative prevention should be implemented.
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Affiliation(s)
- Shen-Shen Hao
- Department of Spine and Bone Oncology, General Hospital of Pingmei Shenma Medical Group, Pingdingshan 467000, Henan Province, China
| | - Zhen-Fu Gao
- Department of Spine and Bone Oncology, General Hospital of Pingmei Shenma Medical Group, Pingdingshan 467000, Henan Province, China
| | - Hong-Ke Li
- Department of Spine and Bone Oncology, General Hospital of Pingmei Shenma Medical Group, Pingdingshan 467000, Henan Province, China
| | - Shuai Liu
- Department of Spine and Bone Oncology, General Hospital of Pingmei Shenma Medical Group, Pingdingshan 467000, Henan Province, China
| | - Sheng-Li Dong
- Department of Spine and Bone Oncology, General Hospital of Pingmei Shenma Medical Group, Pingdingshan 467000, Henan Province, China
| | - Hong-Lei Chen
- Department of Spine and Bone Oncology, General Hospital of Pingmei Shenma Medical Group, Pingdingshan 467000, Henan Province, China
| | - Zhi-Fang Zhang
- Department of Spine and Bone Oncology, General Hospital of Pingmei Shenma Medical Group, Pingdingshan 467000, Henan Province, China
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Martínez C, Serrano-Coll H, Faccini Á, Contreras V, Galeano K, Botero Y, Herrera Y, Garcia A, Garay E, Rivero R, Contreras H, López Y, Guzmán C, Miranda J, Arrieta G, Mattar S. SARS-CoV-2 in a tropical area of Colombia, a remarkable conversion of presymptomatic to symptomatic people impacts public health. BMC Infect Dis 2022; 22:644. [PMID: 35883062 PMCID: PMC9321267 DOI: 10.1186/s12879-022-07575-0] [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: 11/04/2020] [Accepted: 06/28/2022] [Indexed: 11/17/2022] Open
Abstract
Background The ability of SARS-CoV-2 to remain in asymptomatic individuals facilitates its dissemination and makes its control difficult. Objective. To establish a cohort of asymptomatic individuals, change to the symptomatic status, and determine the most frequent clinical manifestations. Methods Between April 9 and August 9, 2020, molecular diagnosis of SARS-CoV-2 infection was confirmed in 154 asymptomatic people in contact with subjects diagnosed with COVID-19. Nasopharyngeal swabs were performed on these people in different hospitals in Córdoba, the Caribbean area of Colombia. The genes E, RdRp, and N were amplified with RT-qPCR. Based on the molecular results and the Cq values, the patients were subsequently followed up through telephone calls to verify their health conditions. Results Overall, of 154 asymptomatic individuals, 103 (66.9%) remained asymptomatic, and 51 (33.1%) changed to symptomatic. The most frequent clinical manifestations in young people were anosmia and arthralgia. Adults showed cough, ageusia, and odynophagia; in the elderly were epigastralgia, dyspnea, and headache. Mortality was 8%. Conclusions A proportion of 33% of presymptomatic individuals was found, of which four of them died. This high rate could indicate a silent transmission, contributing significantly to the epidemic associated with SARS-CoV-2. Supplementary Information The online version contains supplementary material available at 10.1186/s12879-022-07575-0.
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Affiliation(s)
- Caty Martínez
- Universidad de Córdoba, Instituto de Investigaciones Biológicas del Trópico, Campus Berastegui, Córdoba, Montería, Colombia
| | - Héctor Serrano-Coll
- Universidad de Córdoba, Instituto de Investigaciones Biológicas del Trópico, Campus Berastegui, Córdoba, Montería, Colombia.,Instituto Colombiano de Medicina Tropical-Universidad CES, Medellín, Colombia
| | - Álvaro Faccini
- Universidad de Córdoba, Instituto de Investigaciones Biológicas del Trópico, Campus Berastegui, Córdoba, Montería, Colombia
| | - Verónica Contreras
- Universidad de Córdoba, Instituto de Investigaciones Biológicas del Trópico, Campus Berastegui, Córdoba, Montería, Colombia
| | - Ketty Galeano
- Universidad de Córdoba, Instituto de Investigaciones Biológicas del Trópico, Campus Berastegui, Córdoba, Montería, Colombia
| | - Yesica Botero
- Universidad de Córdoba, Instituto de Investigaciones Biológicas del Trópico, Campus Berastegui, Córdoba, Montería, Colombia
| | - Yonairo Herrera
- Universidad de Córdoba, Instituto de Investigaciones Biológicas del Trópico, Campus Berastegui, Córdoba, Montería, Colombia
| | - Alejandra Garcia
- Universidad de Córdoba, Instituto de Investigaciones Biológicas del Trópico, Campus Berastegui, Córdoba, Montería, Colombia
| | - Evelin Garay
- Universidad de Córdoba, Instituto de Investigaciones Biológicas del Trópico, Campus Berastegui, Córdoba, Montería, Colombia
| | - Ricardo Rivero
- Universidad de Córdoba, Instituto de Investigaciones Biológicas del Trópico, Campus Berastegui, Córdoba, Montería, Colombia
| | - Héctor Contreras
- Universidad de Córdoba, Instituto de Investigaciones Biológicas del Trópico, Campus Berastegui, Córdoba, Montería, Colombia
| | - Yesica López
- Universidad de Córdoba, Instituto de Investigaciones Biológicas del Trópico, Campus Berastegui, Córdoba, Montería, Colombia
| | - Camilo Guzmán
- Universidad de Córdoba, Instituto de Investigaciones Biológicas del Trópico, Campus Berastegui, Córdoba, Montería, Colombia
| | - Jorge Miranda
- Universidad de Córdoba, Instituto de Investigaciones Biológicas del Trópico, Campus Berastegui, Córdoba, Montería, Colombia
| | - Germán Arrieta
- Universidad de Córdoba, Instituto de Investigaciones Biológicas del Trópico, Campus Berastegui, Córdoba, Montería, Colombia
| | - Salim Mattar
- Universidad de Córdoba, Instituto de Investigaciones Biológicas del Trópico, Campus Berastegui, Córdoba, Montería, Colombia.
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Puradiredja DI, Kintu-Sempa L, Eyber C, Weigel R, Broucker B, Lindkvist M, Casamitjana N, Reynolds R, Klinkel HF, Matteelli A, Froeschl G. Adapting teaching and learning in times of COVID-19: a comparative assessment among higher education institutions in a global health network in 2020. BMC Med Educ 2022; 22:507. [PMID: 35764985 PMCID: PMC9238047 DOI: 10.1186/s12909-022-03568-4] [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] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/02/2021] [Accepted: 06/15/2022] [Indexed: 06/15/2023]
Abstract
BACKGROUND This research examines the ways in which higher education institutions (HEIs) across the tropEd Network for Education in International Health (tropEd) began to adapt their teaching and learning approaches in response to the COVID-19 pandemic in 2020. Already during this early phase of the pandemic HEIs' responses demonstrate global health approaches emphasising cooperation and communication, rather than national health driven strategies that emphasise quarantine and control. Key lessons learnt for multiple dimensions of teaching and learning in global health are thus identified, and challenges and opportunities discussed. METHODS Data collection includes a cross-sectional online survey among tropEd member institutions (n = 19) in mid-2020, and a complementary set of open-ended questions generating free-text responses (n = 9). Quantitative data were analysed using descriptive statistics, textual data were analysed using a Framework Analysis approach. RESULTS While early on in the pandemic the focus was on a quick emergency switch to online teaching formats to ensure short-term continuity, and developing the administrative and didactic competence and confidence in digital teaching, there is already recognition among HEIs of the necessity for more fundamental quality and longer-term reforms in higher education in global health. Alongside practical concerns about the limitations of digital teaching, and declines in student numbers, there is a growing awareness of opportunities in terms of inclusivity, the necessity of cross-border cooperation, and a global health approach. The extent to which the lack of physical mobility impacts HEI programmes in global health is debated. CONCLUSION The COVID-19 pandemic has brought about preventive measures that have had a considerable impact on various dimensions of academic teaching in global health. Going forward, international HEIs' experiences and response strategies can help generate important lessons for academic institutions across different settings worldwide.
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Affiliation(s)
| | - Linda Kintu-Sempa
- Division of Infectious Diseases and Tropical Medicine, University Hospital, Ludwig-Maximilians-Universität, Munich, Germany
- Center for International Health, Ludwig-Maximilians-Universität, Munich, Germany
| | - Carola Eyber
- Institute for Global Health and Development, Queen Margaret University, Edinburgh, UK
| | | | - Bruno Broucker
- Antwerp Institute of Tropical Medicine, Antwerp, Belgium
| | - Marie Lindkvist
- Department of Epidemiology and Global Health, Umea University, Umea, Sweden
| | - Nuria Casamitjana
- ISGlobal, Hospital Clínic - Universitat de Barcelona, Barcelona, Spain
| | | | - Hans-Friedemann Klinkel
- Institute of Tropical Medicine and International Health, Charité - Universitätsmedizin Berlin, Berlin, Germany
| | - Alberto Matteelli
- Department of Clinical and Experimental Sciences, University of Brescia, and Spedali Civili, Brescia, Italy
| | - Guenter Froeschl
- Division of Infectious Diseases and Tropical Medicine, University Hospital, Ludwig-Maximilians-Universität, Munich, Germany.
- Center for International Health, Ludwig-Maximilians-Universität, Munich, Germany.
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46
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Baek K, Kim SH, Park C, Sakong J. Preventive Measures against COVID-19 in Small- and Mid-sized Enterprises from an Early Stage of the Epidemic in Daegu and Gyeongsangbuk-do. Saf Health Work 2022; 13:294-301. [PMID: 35719428 PMCID: PMC9192127 DOI: 10.1016/j.shaw.2022.06.001] [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: 03/03/2022] [Revised: 05/19/2022] [Accepted: 06/08/2022] [Indexed: 11/21/2022] Open
Abstract
Background In the early stage of the coronavirus disease 2019 (COVID-19) epidemic, small- and mid-sized enterprises (SMEs) may be an important transmission consideration. The study aimed to identify the pattern of COVID-19 prevention measures during the outbreaks in Daegu and Gyeongsangbuk-do at the early stage of COVID-19. Moreover, we investigated whether SME size and past experiences affected the preventive measures implemented in the region. Methods A survey detailing the general characteristics and implementation of 12 preventive activities was conducted in 122 SMEs in Daegu and Gyeongsangbuk-do. The survey was analyzed by size and operation period. Results The study subjects consisted of 53 (43.4%) workplaces with 1–5 employees, 50 (40.9%) workplaces with 6–30 employees, and 19 (15.6%) workplaces with 31–49 employees. The lowest three items among those surveyed were ‘symptomatic workers to stay home for 3–4 days’ (17.2%), ‘work remotely’ (18.9%), and ‘video meetings’ (20.5%). There were significant differences in the rate of several preventive measures implemented. The larger sized SMEs, the higher the number of implementations (p < 0.01). The operation period had no significant relationship with the implementation of preventive measures. The same pattern was observed in multiple generalized linear regression with covariate adjustment. Conclusion Preventive measures among SMEs with fewer than 50 employees were identified. Even within SMEs, a gap in preventive measures according to size was confirmed. To prevent the spread of infection and protect workers' right to health, different support for different sized SMEs is necessary.
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Affiliation(s)
- Kiook Baek
- Department of Occupational and Environmental Medicine, Yeungnam University Hospital, Daegu, Korea
| | - Seong-Hui Kim
- Korean Association of Occupational Health Nurse, Daegu Health and Safety Center, Daegu, Korea
| | - Chulyong Park
- Department of Occupational and Environmental Medicine, Yeungnam University Hospital, Daegu, Korea
| | - Joon Sakong
- Department of Occupational and Environmental Medicine, Yeungnam University Hospital, Daegu, Korea.,Department of Preventive Medicine and Public Health, Collage of Medicine, Yeungnam University, Daegu, Korea
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Zhao T, Du G, Zhou X. Inappropriate urinary catheterisation: a review of the prevalence, risk factors and measures to reduce incidence. Br J Nurs 2022; 31:S4-S13. [PMID: 35559693 DOI: 10.12968/bjon.2022.31.9.s4] [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] [Indexed: 11/11/2022]
Abstract
Urinary tract infections (UTIs) comprise the second most common type of healthcare-associated infections, with up to 80% of UTIs caused by indwelling urinary catheters. Current research suggests that the best way to prevent catheter-associated UTIs (CAUTIs) is to reduce unnecessary catheterisation. Few reviews have focused on the prevalence, risk factors and preventive measures for inappropriate catheterisation. This article, consequently, sought to evaluate the current evidence on the prevalence, risk factors and measures that can be taken to prevent inappropriate urinary catheterisation.
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Affiliation(s)
- Tao Zhao
- Department of Hospital Infection Management, The First People's Hospital of Guiyang, Guiyang City, Guizhou Province, China
| | - Guiqin Du
- Department of Hospital Infection Management, The First People's Hospital of Guiyang, Guiyang City, Guizhou Province, China
| | - Xuan Zhou
- Department of Science and Education, The First People's Hospital of Guiyang, Guiyang City, Guizhou Province, China
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Lange B, Welker S, Kittel M, Jabbour C, Reindl W, Walter T, Heininger A. A case series of severe breakthrough infections observed in nine patients with COVID-19 in a southwestern German university hospital. Infection 2022; 50:775-782. [PMID: 35294729 PMCID: PMC8924568 DOI: 10.1007/s15010-022-01797-9] [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] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2021] [Accepted: 02/24/2022] [Indexed: 11/26/2022]
Abstract
Purpose Vaccination is the key element for protection against COVID-19. Increased vaccination breakthroughs raise the question of whether additional prevention is necessary in case of individual risk factors for a severe course with hospitalization or death despite vaccination. Methods Since July 13, 2021, there is an extended reporting requirement by German law. We analyzed our hospitalized patients with vaccine breakthrough infection during the first 8 weeks. Results Nine of 67 patients (13.4%) hospitalized for COVID-19 (median age 75 years) were fully vaccinated. Five of these patients received intensive care; two patients died. All had received two doses of BNT162b2 vaccines (Pfizer-BioNTech). There was a median of 99 days between complete immunization and symptom onset. All patients suffered from ≥ three comorbidities. Six patients (66.7%) showed a negative Anti-SARS-CoV-2-N titer at the time of vaccine breakthrough, five of these also had Anti-SARS-CoV-2-S titers < 100 U/ml. All determinable cases were Delta variant B.1.617.2. Conclusion Advanced age, underlying cardiorespiratory disease, and the Delta variant of SARS-CoV-2 were associated with hospitalization of our patients, suffering from vaccine breakthrough infection. Avoidance of face masks, lack of immunization of close contacts, and travel to high-risk areas have been observed as modifiable behavioural circumstances. Consistent personal protective measures, vaccination of close caregivers, and increased awareness might be effective measures in addition to COVID-19 booster vaccination for patients at a high risk to suffer a severe course of infection.
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Affiliation(s)
- Bettina Lange
- Medical Faculty Mannheim, Department of Hygiene, Heidelberg University, University Medical Center Mannheim, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany.
| | - Sybille Welker
- Medical Faculty Mannheim, Heidelberg University, University Medical Center Mannheim, Institute for Medical Microbiology and Hygiene, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany
| | - Maximilian Kittel
- Medical Faculty Mannheim, Heidelberg University, University Medical Center Mannheim, Institute for Clinical Chemistry, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany
| | - Claude Jabbour
- Medical Faculty Mannheim, 1st Department of Medicine, Heidelberg University, University Medical Center Mannheim, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany
| | - Wolfgang Reindl
- Medical Faculty Mannheim, 2nd Department of Medicine, Heidelberg University, University Medical Center Mannheim, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany
| | - Thomas Walter
- Medical Faculty Mannheim, Emergency Department, Heidelberg University, University Medical Center Mannheim, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany
| | - Alexandra Heininger
- Medical Faculty Mannheim, Department of Hygiene, Heidelberg University, University Medical Center Mannheim, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany
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Sędek K, Truszczyńska-Baszak A, Cygańska AK, Drzał-Grabiec J. Back pain and body posture of non-professional Brazilian Jiu-Jitsu practitioners. PeerJ 2022; 10:e12838. [PMID: 35261817 PMCID: PMC8898545 DOI: 10.7717/peerj.12838] [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: 05/21/2021] [Accepted: 01/05/2022] [Indexed: 01/10/2023] Open
Abstract
Background The aim of the study was to assess the prevalence of back pain in non-professional Brazilian Jiu-Jitsu practitioners (NP-BJJ practitioners), and to assess the relationship between their back pain and postural disorders. Methods The study involved 61 subjects (age: 30.7 ± 4.9 years old; body mass: 79.4 ± 12.9 kg; body height: 179.6 ± 8.4 cm; 8 woman and 53 man), 31 who trained Brazilian Jiu-Jitsu (BJJ) and 30 subjects who had never trained any combat sport. The mean time of training BJJ in the study population was 3.9 ± 4.1 years. Postural assessments were conducted with the use of the photogrammetric method. The assessment of back pain and injuries was conducted with the Oswestry Disability Index (ODI) and with our proprietary questionnaire. Results Among both populations, 37 subjects reported back pain. There were no differences in back pain location between the two groups or in functional state on the ODI. Significant differences between the groups in the values of the postural parameters (spinal height, length of kyphosis, length of lordosis, pelvis inclination angle) were observed. Statistically significant differences between the NP-BJJ practitioners with and without back pain in the length of the thoracic kyphosis and the differences in the height of the waist triangles were found. Conclusions Both in the study population and in the control group the spinal pain was minimal or moderate on the ODI. BJJ practitioners who reported back pain had characteristic postural changes in some of the analysed postural parameters in comparison to BJJ practitioners who did not report back pain.
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Affiliation(s)
- Katarzyna Sędek
- Faculty of Rehabilitation, Józef Piłsudski University of Physical Education in Warsaw, Warsaw, Poland
| | | | - Anna Katarzyna Cygańska
- Faculty of Rehabilitation, Józef Piłsudski University of Physical Education in Warsaw, Warsaw, Poland
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50
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Jaekel B, Muley D. Transport impacts in Germany and State of Qatar: An assessment during the first wave of COVID-19. Transp Res Interdiscip Perspect 2022; 13:100540. [PMID: 35036908 PMCID: PMC8752045 DOI: 10.1016/j.trip.2022.100540] [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] [Subscribe] [Scholar Register] [Received: 09/13/2021] [Revised: 12/17/2021] [Accepted: 12/31/2021] [Indexed: 06/14/2023]
Abstract
Response measures to contain COVID-19 spread varied from country to country, some imposed a complete lockdown while some imposed partial restrictions. This paper compares the transport impacts of the COVID-19 pandemic for two countries having dissimilar characteristics, Germany and State of Qatar, based on the rates of infection and response measures. Secondary data, obtained from Google mobility reports, and primary data, collected from local agencies, were used for comparison purposes. The secondary data comparison from February 2020 to July 2020 indicated an overall decline in mobility for all commercial activities and an increase was noted for parks and residential locations for Saxony, Germany. For State of Qatar, the mobility was decreased to all places except residential locations. Further, the comparison for traffic volumes and the number of crashes during the first wave of the pandemic indicated that the reduction in traffic volumes, major, and minor crashes was coupled with restrictive measures rather than COVID-19 incidences for both countries. Further, the traffic volumes showed a statistically significant inverse linear relationship with the stringency index for both countries during weekdays as well as weekends. These results suggest that the policy measures are key in governing movement restrictions and containing the spread of pandemic rather than the number of COVID-19 incidences. Further, the authorities should monitor the traffic trends during the pandemic and enforce the traffic rules and regulations as soon as the movement restrictions are lifted.
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Affiliation(s)
- Birgit Jaekel
- Technische Universität Dresden, "Friedrich List" Faculty of Transportation and Traffic Sciences, Institute of Traffic Telematics, Chair of Traffic Conrtrol and Process Automation, 01062 Dresden, Germany
| | - Deepti Muley
- State of Qatar Transportation and Traffic Safety Center /, Department of Civil Engineering, Qatar University, P.O. Box 2713, Doha, Qatar
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