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1.
Nature ; 573(7773): 251-255, 2019 09.
Article in English | MEDLINE | ID: mdl-31511682

ABSTRACT

Most chemical experiments are planned by human scientists and therefore are subject to a variety of human cognitive biases1, heuristics2 and social influences3. These anthropogenic chemical reaction data are widely used to train machine-learning models4 that are used to predict organic5 and inorganic6,7 syntheses. However, it is known that societal biases are encoded in datasets and are perpetuated in machine-learning models8. Here we identify as-yet-unacknowledged anthropogenic biases in both the reagent choices and reaction conditions of chemical reaction datasets using a combination of data mining and experiments. We find that the amine choices in the reported crystal structures of hydrothermal synthesis of amine-templated metal oxides9 follow a power-law distribution in which 17% of amine reactants occur in 79% of reported compounds, consistent with distributions in social influence models10-12. An analysis of unpublished historical laboratory notebook records shows similarly biased distributions of reaction condition choices. By performing 548 randomly generated experiments, we demonstrate that the popularity of reactants or the choices of reaction conditions are uncorrelated to the success of the reaction. We show that randomly generated experiments better illustrate the range of parameter choices that are compatible with crystal formation. Machine-learning models that we train on a smaller randomized reaction dataset outperform models trained on larger human-selected reaction datasets, demonstrating the importance of identifying and addressing anthropogenic biases in scientific data.


Subject(s)
Bias , Chemistry Techniques, Synthetic/statistics & numerical data , Laboratory Personnel/statistics & numerical data , Machine Learning , Humans , Laboratory Personnel/psychology
2.
J Cancer Educ ; 35(6): 1094-1100, 2020 12.
Article in English | MEDLINE | ID: mdl-31227995

ABSTRACT

Adolescence is a vulnerable period of breast development, and environmental chemical exposures that occur during this period can increase the risk of breast cancer in adulthood. Discussing breast health with adolescent girls can be difficult for several reasons. In this project, we worked to not only inform adolescent researchers about environmental risks for breast cancer but to also involve them in research studies. We taught adolescents about the stages of mammary gland development using samples collected from mice, with a specific focus on pre-pubertal and pubertal stages of development. Our analysis shows that adolescent researchers, with relatively modest training, can collect reliable and reproducible data on aspects of mammary gland biology that are known to be disrupted by environmental chemicals, with coefficients of variation < 2.5% for basic mammary gland parameters and 5-7% for more complex measures. Finally, we provided these adolescents with information about environmental risk factors for breast cancer that they could share with their peers and community and action items to potentially modify their individual risk. We hope that researchers working in this field will engage adolescent researchers in projects to evaluate chemicals that influence breast cancer risk. Summer research programs that inform young adolescents about breast cancer risk factors not only benefit these novice researchers individually but also benefit their communities when they are encouraged to talk about the value of basic science studies, discuss vulnerable periods of mammary gland development, and share what they have learned about cancer and the environment.


Subject(s)
Breast Neoplasms/etiology , Breast Neoplasms/pathology , Environmental Exposure/adverse effects , Laboratories/statistics & numerical data , Laboratory Personnel/statistics & numerical data , Mammary Glands, Animal/pathology , Adolescent , Animals , Female , Humans , Mice
3.
Clin Chem Lab Med ; 57(6): 832-837, 2019 05 27.
Article in English | MEDLINE | ID: mdl-30332389

ABSTRACT

Background This study aimed to evaluate the ability of comment providers who were responsible for interpreting results in clinical laboratories in China and to improve the quality of interpretative comments. Methods Basic information and interpretative comments for five cases of 1912 routine chemistry External Quality Assessment (EQA) participant laboratories were collected by web-based EQA system in May 2018. EQA organizers assigned scores to each key phrase of comments based on predetermined marking scale and calculated total scores for each participant's answer. Final scores and ranking were calculated according to scores of cases. Finally, we comprehensively analyzed the type of hospital and the professional title of participants. Results In total, 772 clinical laboratories, 1472 participants, from different Chinese provinces submitted interpretative comments. Median scores, interquartile ranges and score ranges of the five cases were 13 (11-15, 1-20), 13 (10-16, 0-20), 15 (12-17, 0-21), 7 (5-9, -2 to 14) and 12 (10-13, -2 to 18). The final scores and ranking of participants that came from tertiary hospitals were higher than those from secondary and other hospitals; however, there were no significant differences (0.774). When grouped by professional title, we found that although no significant variability existed among senior, intermediate, junior and others (0.699), it existed between laboratory physicians and technicians, as the median final scores of the former were higher than the latter. Conclusions Practice and quality of interpretative comments are indeed different among different laboratories and participants in China. Laboratories should train and assess the interpretative ability of personnel. EQA organizers should also improve the scoring method and establish peer assessors team through this survey.


Subject(s)
Laboratories, Hospital/standards , Quality Assurance, Health Care/standards , China , Laboratory Personnel/statistics & numerical data , Secondary Care Centers , Surveys and Questionnaires , Tertiary Care Centers
6.
An Acad Bras Cienc ; 88(1): 227-36, 2016 Mar.
Article in English | MEDLINE | ID: mdl-26871490

ABSTRACT

The aim of this study was to evaluate potential DNA damage and cytotoxicity in pathology laboratory technicians exposed to organic solvents, mainly xylene. Peripheral blood and buccal cells samples were collected from 18 technicians occupationally exposed to organic solvents and 11 non-exposed individuals. The technicians were sampled at two moments: Monday and Friday. DNA damage and cytotoxicity were evaluated using the Comet Assay and the Buccal Micronucleus Cytome assay. Fifteen subjects (83.5%) of the exposed group to solvents complained about some symptom probably related to contact with vapours of organic solvents. DNA damage in the exposed group to solvents was nearly 2-fold higher on Friday than on Monday, and in both moments the individuals of this group showed higher levels of DNA damage in relation to controls. No statistical difference was detected in buccal cell micronucleus frequency between the laboratory technicians and the control group. However, in the analysis performed on Friday, technicians presented higher frequency (about 3-fold) of karyolytic and apoptotic-like cells (karyorrhectic and pyknotic) in relation to control group. Considering the damage frequency and the working time, a positive correlation was found in the exposed group to solvents (r=0.468; p=0.05). The results suggest that pathology laboratory workers inappropriately exposed to organic solvents have increased levels of DNA damage.


Subject(s)
DNA Damage/drug effects , Laboratory Personnel/statistics & numerical data , Occupational Exposure/adverse effects , Organic Chemicals/toxicity , Solvents/toxicity , Adolescent , Adult , Comet Assay , Female , Humans , Male , Micronucleus Tests , Mouth Mucosa/drug effects , Young Adult
7.
Malar J ; 14: 240, 2015 Jun 11.
Article in English | MEDLINE | ID: mdl-26062808

ABSTRACT

BACKGROUND: The Health Office of Aceh aims to eliminate malaria from Aceh Province, Indonesia by 2015. Malaria was formerly common in Aceh (population 4.5 million), but has declined dramatically in recent years consequent to post-tsunami control efforts. Successful elimination will depend upon rapid and accurate diagnosis and case follow-up at community level. A prerequisite to this is widespread coverage of high quality malaria diagnosis. This study describes the results of a comprehensive assessment of the malaria diagnostic capacity in Aceh as the province moves towards malaria elimination. METHODS: The study was conducted in 23 districts in Aceh from October 2010 to July 2011. Six types of questionnaires were used to collect data on competency of microscopists and laboratory capacity. Standardized slides were used to evaluate the proficiency of all microscopists. In addition, site visits to 17 primary health centres (PHC) assessed diagnostic practice and logistics capacity. RESULTS: Five hundred and seventy four malaria microscopists have been officially registered and assigned to duty in the 23 districts in Aceh Province. They work in 345 laboratories, predominantly in PHCs (69 %) and hospitals (25 %). Three laboratories were evaluated as adequate for all 30 elements, while 29 laboratories were adequate for less than five of 30 elements. Standardized proficiency tests showed that 413 microscopists were at basic (in training) level, with 10 advanced and 9 reference level. No microscopist achieved expert level. Neither the province nor any of Aceh's districts has a standardized inventory and logistics database for malaria diagnostics, nor did any of the surveyed laboratories operate a quality assurance programme for either microscopy or rapid diagnostic tests. CONCLUSIONS: The study highlights the importance of careful assessment of diagnostic capacity when embarking upon a large-scale malaria elimination programme. Aceh's laboratories have minimal infrastructure with nearly all microscopists still in training. On the positive side, a large workforce of microscopists has been assigned to laboratories with the needed equipment. Aceh will need to embark on a large-scale comprehensive quality assurance scheme if it is to achieve malaria elimination.


Subject(s)
Laboratory Personnel , Malaria/diagnosis , Microscopy/standards , Adult , Aged , Female , Humans , Indonesia , Laboratory Personnel/statistics & numerical data , Malaria/prevention & control , Male , Microscopy/statistics & numerical data , Middle Aged , Surveys and Questionnaires , Young Adult
8.
Proc Natl Acad Sci U S A ; 109(41): 16474-9, 2012 Oct 09.
Article in English | MEDLINE | ID: mdl-22988126

ABSTRACT

Despite efforts to recruit and retain more women, a stark gender disparity persists within academic science. Abundant research has demonstrated gender bias in many demographic groups, but has yet to experimentally investigate whether science faculty exhibit a bias against female students that could contribute to the gender disparity in academic science. In a randomized double-blind study (n = 127), science faculty from research-intensive universities rated the application materials of a student-who was randomly assigned either a male or female name-for a laboratory manager position. Faculty participants rated the male applicant as significantly more competent and hireable than the (identical) female applicant. These participants also selected a higher starting salary and offered more career mentoring to the male applicant. The gender of the faculty participants did not affect responses, such that female and male faculty were equally likely to exhibit bias against the female student. Mediation analyses indicated that the female student was less likely to be hired because she was viewed as less competent. We also assessed faculty participants' preexisting subtle bias against women using a standard instrument and found that preexisting subtle bias against women played a moderating role, such that subtle bias against women was associated with less support for the female student, but was unrelated to reactions to the male student. These results suggest that interventions addressing faculty gender bias might advance the goal of increasing the participation of women in science.


Subject(s)
Faculty , Laboratory Personnel/statistics & numerical data , Personnel Selection/statistics & numerical data , Science , Sexism/statistics & numerical data , Students , Adult , Double-Blind Method , Female , Humans , Laboratory Personnel/standards , Male , Personnel Selection/standards , Regression Analysis , Salaries and Fringe Benefits/statistics & numerical data , Sex Factors , Sexism/psychology
9.
Nature ; 492(7428): 299-300, 2012 Dec 13.
Article in English | MEDLINE | ID: mdl-23243677
10.
Ann Ig ; 25(2): 125-36, 2013.
Article in English | MEDLINE | ID: mdl-23471450

ABSTRACT

OBJECTIVES: The use of organic solvents has been linked to pathologies of different apparatuses. The purpose of this study is to analyze the liver damage induced by organic solvents. MATERIALS AND METHODS: We analyzed 556 workers, 278 exposed to organic solvents (group 1) and 278 not exposed to organic solvents (group 2). The exposed group was further divided into 2 subgroups: group 1A (139 workers exposed to considerable doses) and group 1B (139 workers exposed to negligible doses). Mean and standard deviation of some liver parameters was calculated. Statistically significant differences between the liver parameters in the different groups and subgroups were detected using the t-test. Multiple linear regression models were used to examine the associations between laboratory parameters and the independent variable. RESULTS: The data so far obtained showed the existence of statistically significant differences with regard to the total protein, total bilirubin, transaminase GOT and GPT, Gamma Glutamyl Transferase (gamma-GT). CONCLUSIONS: Our results confirm that exposure to solvents can alter some liver parameters. The blood tests we used can be useful tool for the assessment of the actual occupational hazards and to verify the effectiveness of the measures taken for the prevention and protection.


Subject(s)
Air Pollutants, Occupational/toxicity , Air Pollution, Indoor/adverse effects , Chemical and Drug Induced Liver Injury/etiology , Laboratory Personnel , Liver/drug effects , Occupational Diseases/etiology , Occupational Exposure , Personnel, Hospital , Solvents/toxicity , Volatile Organic Compounds/toxicity , Adult , Alanine Transaminase/blood , Alcohol Drinking/epidemiology , Aspartate Aminotransferases/blood , Bilirubin/blood , Biomarkers/blood , Blood Proteins/analysis , Chemical and Drug Induced Liver Injury/blood , Chemical and Drug Induced Liver Injury/epidemiology , Female , Humans , Italy/epidemiology , Laboratories, Hospital , Laboratory Personnel/statistics & numerical data , Male , Middle Aged , Occupational Diseases/blood , Occupational Diseases/epidemiology , Personnel, Hospital/statistics & numerical data , Smoking/epidemiology , gamma-Glutamyltransferase/blood
11.
Transfusion ; 52(2): 317-25, 2012 Feb.
Article in English | MEDLINE | ID: mdl-22212105

ABSTRACT

BACKGROUND: Although recent data have brought into question the association between xenotropic murine leukemia virus-related virus (XMRV) and chronic fatigue syndrome, one group has reported evidence of human infection with distinct polytropic murine leukemia viruses (MLVs). Occult retroviral infection among humans poses a significant public health risk should it be introduced into the blood supply. To explore the possibility of cross-species transmission of MLVs to humans, we sought molecular and serologic evidence of XRMV/MLV infection among a cohort of animal workers highly exposed to mice. STUDY DESIGN AND METHODS: Before the commencement of the study, the laboratory and equipment were demonstrated to be free of XMRV/MLV DNA sequences. DNA extracted from 43 animal workers was tested using nested polymerase chain reaction (PCR) with published primer sets, targeting regions of XMRV and MLV gag. Negative controls were assayed in a 1:1 ratio with specimens. Serum specimens were tested using a validated immunoblot assay containing cross-reactive XMRV antigens. RESULTS: Initial molecular assays demonstrated that the physical space and laboratory equipment were free of MLV and XMRV DNA sequences. Nested PCR assays using multiple primer sets successfully amplified XMRV and MLV sequences from positive controls with high sensitivity. A single, nonreproducible, false-positive result from one specimen was shown to be the result of subsequent contamination. Immunoblotting of all subjects' sera failed to demonstrate any evidence of seroreactivity to XMRV proteins. CONCLUSIONS: There was no evidence of human infection with XMRV/MLV among a cohort of individuals highly exposed to mice. These data suggest that the likelihood of cross-species transmission events of MLV from mice to humans is low.


Subject(s)
Animal Technicians/statistics & numerical data , Cross Infection/epidemiology , Retroviridae Infections/epidemiology , Retroviridae Infections/transmission , Xenotropic murine leukemia virus-related virus , Animals , Antibodies, Viral/blood , Cells, Cultured , Cross Infection/etiology , Humans , Laboratory Personnel/statistics & numerical data , Mice , Mice, Inbred BALB C , Mice, Inbred C57BL , Middle Aged , Occupational Exposure/statistics & numerical data , Retroviridae Infections/virology , Species Specificity , Validation Studies as Topic , Xenotropic murine leukemia virus-related virus/physiology
12.
Trop Med Int Health ; 16(10): 1234-42, 2011 Oct.
Article in English | MEDLINE | ID: mdl-21752163

ABSTRACT

OBJECTIVE: To determine the competence of community health workers (CHWs) to correctly assess, classify and treat malaria and pneumonia among under-five children after training. METHODS: Consultations of 182 under-fives by 14 CHWs in Iganga district, Uganda, were observed using standardised checklists. Each CHW saw 13 febrile children. Two paediatricians observed CHWs' assessment, classification and prescription of treatment, while a laboratory scientist assessed CHW use of malaria rapid diagnostic tests (RDTs). The validity of CHWs' use of RDTs to detect malaria and respiratory timers to diagnose pneumonia was estimated using a laboratory scientist's RDT repeat reading and a paediatrician's repeat count of the respiratory rate, respectively. RESULTS: From the 182 consultations, overall CHWs' performance was adequate in taking history (97%), use (following procedures prior to reading result) of timers (96%) and use of RDTs (96%), but inadequate in classification (87%). Breath readings (classified as fast or normal) were 85% in agreement with the paediatrician (κ = 0.665, P < 0.001). All RDT readings were in agreement with those obtained by the laboratory scientist. Ninety-six per cent (85/89) of children with a positive RDT were prescribed an antimalarial drug, 40% (4/10) with fast breathing (gold standard) were prescribed an antibiotic and 91% (48/53) with both were prescribed both medicines. CONCLUSION: Community health workers can be trained to use RDTs and timers to assess and manage malaria and pneumonia in children. We recommend integration of these diagnostics into community case management of fever. CHWs require enhanced practice in counting respiratory rates and simple job aides to enable them make a classification without thinking deeply about several assessment results.


Subject(s)
Anti-Infective Agents/administration & dosage , Case Management , Community Health Workers/education , Fever/etiology , Malaria/diagnosis , Malaria/drug therapy , Pneumonia/diagnosis , Pneumonia/drug therapy , Respiratory Rate , Rural Population , Adult , Antimalarials/administration & dosage , Case Management/organization & administration , Case Management/standards , Case Management/trends , Child, Preschool , Coinfection , Diagnosis, Differential , Female , Fever/microbiology , Fever/parasitology , Humans , Infant , Laboratory Personnel/statistics & numerical data , Malaria/epidemiology , Malaria/physiopathology , Male , Middle Aged , Pneumonia/epidemiology , Pneumonia/physiopathology , Prevalence , Research Design , Rural Population/statistics & numerical data , Rural Population/trends , Uganda/epidemiology
13.
Popul Stud (Camb) ; 65(3): 319-34, 2011 Nov.
Article in English | MEDLINE | ID: mdl-21919630

ABSTRACT

National science academies represent intellectual elites and vanguard groups in the achievement of longevity. We estimated life expectancy (LE) at age 50 of members of the British Royal Society (RS) for the years 1670-2007 and of members of the Russian Academy of Sciences (RAS) for the years 1750-2006. The longevity of academicians was higher than that of their corresponding national populations, with the gap widening from the 1950s. Since the 1980s, LE in the RS has been higher than the maximum LE among all high-income countries. In each period, LE in the RS was greater than in the RAS, although since the 1950s it has risen in parallel in the two academies. This steep increase shared by academicians in Britain and Russia suggests that general populations have the potential for a substantial increase in survival to high ages.


Subject(s)
Laboratory Personnel/statistics & numerical data , Life Expectancy/trends , Longevity , Academies and Institutes , Adult , Age Distribution , Aged , Demography , Female , Humans , Intelligence , Male , Middle Aged , Mortality , Russia , Socioeconomic Factors , United States
14.
Elife ; 102021 11 05.
Article in English | MEDLINE | ID: mdl-34739373

ABSTRACT

A group leader decided that his lab would share the fluorescent dyes they create, for free and without authorship requirements. Nearly 12,000 aliquots later, he reveals what has happened since.


Subject(s)
Coloring Agents/supply & distribution , Laboratories/statistics & numerical data , Coloring Agents/economics , Laboratories/economics , Laboratory Personnel/statistics & numerical data
15.
Am J Ophthalmol ; 227: 254-264, 2021 07.
Article in English | MEDLINE | ID: mdl-33836182

ABSTRACT

PURPOSE: The purpose of this study was to characterize clinician-scientists in ophthalmology and identify factors associated with successful research funding, income, and career satisfaction. DESIGN: Cross-sectional study. METHODS: A survey was conducted of clinician-scientists in ophthalmology at US academic institutions between April 17, 2019, and May 19, 2019. Collected information including 1) demographic data; 2) amount, type, and source of startup funding; first extramural grant; and first R01-equivalent independent grant; 3) starting and current salaries; and 4) Likert-scale measurements of career satisfaction were analyzed using multivariate regression. RESULTS: Ninety-eight clinician-scientists in ophthalmology were surveyed across different ages (mean: 48 ± 11 years), research categories, institutional types, geographic regions, and academic ranks. Median startup funding ranged from $50-99k, and median starting salaries ranged from $150-199k. A majority of investigators (67%) received their first extramural award from the National Eye Institute, mainly through K-award mechanisms (82%). The median time to receiving their first independent grant was 8 years, mainly through an R01 award (70%). Greater institutional startup support (P = .027) and earlier extramural grant success (P = .022) were associated with earlier independent funding. Male investigators (P = .001) and MD degreed participants (P = .008) were associated with higher current salaries but not starting salaries. Overall career satisfaction increased with career duration (P = .011) but not with earlier independent funding (P = .746) or higher income (P = .300). CONCLUSIONS: Success in research funding by clinician-scientists in ophthalmology may be linked to institutional support and earlier acquisition of extramural grants but does not impact academic salaries. Nevertheless, career satisfaction among clinician-scientists improves with time, which is not necessarily influenced by research or financial success.


Subject(s)
Biomedical Research/statistics & numerical data , Clinical Medicine/statistics & numerical data , Income/statistics & numerical data , Job Satisfaction , Laboratory Personnel/statistics & numerical data , Ophthalmology/statistics & numerical data , Research Support as Topic/statistics & numerical data , Adult , Aged , Cross-Sectional Studies , Female , Health Surveys , Humans , Male , Middle Aged , United States
16.
Am J Clin Pathol ; 155(5): 649-673, 2021 04 26.
Article in English | MEDLINE | ID: mdl-33205808

ABSTRACT

OBJECTIVES: To inform the pathology and laboratory field of the most recent national wage data. Historically, the results of this biennial survey have served as a basis for additional research on laboratory recruitment, retention, education, marketing, certification, and advocacy. METHODS: The 2019 Wage Survey was conducted through collaboration of the American Society for Clinical Pathology (ASCP) Institute of Science, Technology, and Policy in Washington, DC, and the ASCP Board of Certification in Chicago, Illinois. RESULTS: Compared with 2017, results show an overall increase in salaries for most laboratory occupations surveyed except cytogenetic technologists, laboratory information systems personnel, and performance improvement or quality assurance personnel. Geographically, laboratory professionals from urban areas earned more than their rural counterparts. CONCLUSIONS: As retirement rates continue to increase, the field needs to intensify its efforts on recruiting the next generation of laboratory personnel. To do so, the report urged the field to highlight advocacy for better salaries for laboratory personnel at the local and national levels when developing recruitment and retention strategies.


Subject(s)
Laboratories/economics , Laboratory Personnel/statistics & numerical data , Medical Laboratory Personnel/economics , Pathology, Clinical/economics , Salaries and Fringe Benefits/statistics & numerical data , Certification/statistics & numerical data , Humans , Laboratories/statistics & numerical data , Societies/economics , Surveys and Questionnaires , United States , Workforce/economics
17.
Diagnosis (Berl) ; 7(1): 17-18, 2020 01 28.
Article in English | MEDLINE | ID: mdl-31584872

ABSTRACT

Laboratory professionals can contribute to improvement of diagnosis in the context of the total testing process (TTP), a multidisciplinary framework complementary to the diagnostic process. While the testing process has been extensively characterized in the literature, needed is accurate identification of the source of the term "total testing process". This article clarifies first appearance of the term in the literature and supplies a formal definition.


Subject(s)
Diagnostic Services/trends , Laboratory Personnel/statistics & numerical data , Medical Laboratory Science/standards , Humans , Laboratory Personnel/organization & administration , Quality Assurance, Health Care/standards
18.
Trends Parasitol ; 36(6): 495-498, 2020 06.
Article in English | MEDLINE | ID: mdl-32407679

ABSTRACT

In an ideal world, there are equal opportunities for women to enter and progress in all scientific disciplines without bias or prejudice. Here, we share our experiences in building communities of women parasitology and offer easy-to-implement guidelines for scientists and institutions to overcome unconscious bias and create environments with better gender equality and diversity.


Subject(s)
Interpersonal Relations , Laboratory Personnel/statistics & numerical data , Parasitology/organization & administration , Prejudice/prevention & control , Cultural Diversity , Humans , Parasitology/statistics & numerical data , Parasitology/trends , Personnel Selection/standards
19.
PLoS Negl Trop Dis ; 14(5): e0008164, 2020 05.
Article in English | MEDLINE | ID: mdl-32392223

ABSTRACT

Brucellosis is a neglected zoonotic disease of remarkable importance worldwide. The focus of this systematic review was to investigate occupational brucellosis and to identify the main infection risks for each group exposed to the pathogen. Seven databases were used to identify papers related to occupational brucellosis: CABI, Cochrane, Pubmed, Scielo, Science Direct, Scopus and Web of Science. The search resulted in 6123 studies, of which 63 were selected using the quality assessment tools guided from National Institutes of Health (NIH) and Case Report Guidelines (CARE). Five different job-related groups were considered greatly exposed to the disease: rural workers, abattoir workers, veterinarians and veterinary assistants, laboratory workers and hunters. The main risk factors and exposure sources involved in the occupational infection observed from the analysis of the articles were direct contact with animal fluids, failure to comply with the use of personal protective equipment, accidental exposure to live attenuated anti-brucellosis vaccines and non-compliance with biosafety standards. Brucella species frequently isolated from job-related infection were Brucella melitensis, Brucella abortus, Brucella suis and Brucella canis. In addition, a meta-analysis was performed using the case-control studies and demonstrated that animal breeders, laboratory workers and abattoir workers have 3.47 [95% confidence interval (CI); 1.47-8.19] times more chance to become infected with Brucella spp. than others individuals that have no contact with the possible sources of infection. This systematic review improved the understanding of the epidemiology of brucellosis as an occupational disease. Rural workers, abattoir workers, veterinarians, laboratory workers and hunters were the groups more exposed to occupational Brucella spp. infection. Moreover, it was observed that the lack of knowledge about brucellosis among frequently exposed professionals, in addition to some behaviors, such as negligence in the use of individual and collective protective measures, increases the probability of infection.


Subject(s)
Brucellosis/epidemiology , Occupational Diseases/epidemiology , Abattoirs/statistics & numerical data , Animals , Brucella/genetics , Brucella/isolation & purification , Brucella/physiology , Brucellosis/microbiology , Humans , Laboratory Personnel/statistics & numerical data , Occupational Diseases/microbiology , Occupational Exposure/adverse effects , Veterinarians/statistics & numerical data
20.
Infez Med ; 28(1): 70-77, 2020 Mar 01.
Article in English | MEDLINE | ID: mdl-32172263

ABSTRACT

The aim of this study was to gauge the reasons for accepting or declining influenza vaccine in healthcare staff in Saudi Arabia. A questionnaire was administered to healthcare workers in Saudi Arabia. In all, 633 respondents who provided gender, nationality and profession were included. Reasons for vaccine uptake or refusal were assessed according to profession and educational level. Uptake of vaccine was lower in the period from 2010 to 2014 (3-13.3%) compared to pre-2010 figures (20.7%), rising to 44.1% in 2015. Comparing data for 'never having been vaccinated' to 'being vaccinated in 2015', there was no significant difference in distribution between nurses (9.27% v 38.8%), physicians (13.9% v 56.0%) and laboratory technicians (15.9% v 33.5%) (p= 0.08). The top reason for vaccination was protection of self and family, while the top reason for refusal was not considering the vaccine to be necessary. Education level had no significant effect on the likelihood of being vaccinated. Improvement of healthcare worker vaccination levels in Saudi Arabia might be achieved by addressing staff concerns on vaccine safety and efficacy, emphasizing the potential dangers of influenza and capitalizing on the staff's focus on protecting themselves and their families.


Subject(s)
Health Personnel/psychology , Influenza Vaccines/administration & dosage , Treatment Adherence and Compliance/psychology , Vaccination Refusal/psychology , Attitude of Health Personnel , Female , Health Facility Administrators/psychology , Health Facility Administrators/statistics & numerical data , Health Knowledge, Attitudes, Practice , Health Personnel/statistics & numerical data , Humans , Influenza, Human/prevention & control , Laboratory Personnel/psychology , Laboratory Personnel/statistics & numerical data , Male , Medical Staff/psychology , Medical Staff/statistics & numerical data , Nursing Staff/psychology , Nursing Staff/statistics & numerical data , Physical Therapists/psychology , Physical Therapists/statistics & numerical data , Saudi Arabia , Surveys and Questionnaires , Treatment Adherence and Compliance/statistics & numerical data , Vaccination Refusal/statistics & numerical data
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