Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 20.025
Filtrar
1.
Int J Dermatol ; 60(1): 99-106, 2021 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-33166092

RESUMEN

BACKGROUND: Cutaneous sporotrichosis, a subcutaneous mycosis because of Sporothrix schenckii, is sporadic worldwide with local hyperendemic pockets. OBJECTIVES: To study clinico-epidemiological and therapeutic aspects of sporotrichosis in our clinic. METHODS: We retrospectively analyzed medical records of 152 (M:F 52:100) patients with cutaneous sporotrichosis managed during 2010-2019. RESULTS: All patients were involved in agricultural activities, and 63.2% were aged 21-60 years. Women outnumbered men by nearly two times. Fixed and lymphocutaneous sporotrichosis occurred in 54.6% and 43.4% patients, respectively. Only 2% of patients had multifocal sporotrichosis. Only 48% of patients imputed their disease to prior injuries. Extremities, upper in 53.9% and lower in 21% of patients, were mostly involved. Scrotum involvement in one patient was unusual. A mixed inflammatory infiltrate in 38.7%, chronic granuloma formation in 35%, and presence of spores in 48.9% biopsies was noted. S. schenckii grew on Sabouraud's dextrose agar in 40.2% of cases. Treatment with saturated solution of potassium iodide was curative in 76.8% patients, and lesions healed in 2-9 months (average 5.2 months). Metallic taste was experienced by 42.9% of patients. Itraconazole therapy was safe and effective in seven patients, and the response was better when combined with SSKI compared to either drug used alone. CONCLUSION: Cutaneous sporotrichosis mostly affects persons during active years of life. The injuries predisposing to infection are mostly forgotten. Both fixed and lymphocutaneous sporotrichosis involving extremities remain common forms. SSKI alone or in combination with itraconazole is safe and effective treatment. Itraconazole is preferable in patients having preexisting hypothyroidism or intolerance to SSKI.


Asunto(s)
Agricultura , Antifúngicos/uso terapéutico , Granuloma/microbiología , Enfermedades Profesionales/tratamiento farmacológico , Yoduro de Potasio/uso terapéutico , Esporotricosis/tratamiento farmacológico , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Antifúngicos/efectos adversos , Niño , Quimioterapia , Extremidades , Femenino , Humanos , India/epidemiología , Itraconazol/uso terapéutico , Masculino , Persona de Mediana Edad , Enfermedades Profesionales/epidemiología , Enfermedades Profesionales/etiología , Enfermedades Profesionales/patología , Yoduro de Potasio/efectos adversos , Estudios Retrospectivos , Esporas Fúngicas , Esporotricosis/epidemiología , Esporotricosis/etiología , Esporotricosis/patología , Heridas y Traumatismos/complicaciones , Adulto Joven
2.
Artículo en Inglés | MEDLINE | ID: mdl-32771337

RESUMEN

BACKGROUND: Psychological suffering by health professionals may be associated with the uncertainty of a safe workplace. Front-line professionals exposed and involved in the diagnosis and treatment of COVID-19 patients are more susceptible. METHOD: This review was conducted based on papers that were published at MEDLINE, BMJ, PsycINFO, and LILACS, the according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyzes (PRISMA). RESULTS: Health professionals had a higher level of anxiety (13.0 vs. 8.5%, p < 0.01, OR = 1.6152; 95%CI 1.3283 to 1.9641; p < 0.0001) and depression 12.2 vs. 9.5%; p = 0.04; OR = 1.3246; 95%CI 1.0930 to 1.6053; p = 0.0042), besides somatizations and insomnia compared to professionals from other areas. CONCLUSION: Health professionals, regardless of their age, showed significant levels of mental disorders. We observed a prevalence of anxiety and depression. Insomnia was a risk factor for both.


Asunto(s)
Infecciones por Coronavirus , Personal de Salud/psicología , Trastornos Mentales/etiología , Trastornos Mentales/psicología , Enfermedades Profesionales/etiología , Enfermedades Profesionales/psicología , Pandemias , Neumonía Viral , Humanos , Trastornos Mentales/epidemiología , Enfermedades Profesionales/epidemiología , Prevalencia , Estrés Psicológico
3.
Artículo en Inglés | MEDLINE | ID: mdl-32777327

RESUMEN

BACKGROUND: Health professionals are key personnel to containing infectious diseases like COVID-19. In the face of long work shifts (that reach 16 h per day on average), the risk of getting infected by a high-infectious disease and the lack of enough biological protection measures, mental suffering among health professionals suddenly became evident. METHOD: We carried out an updated meta-analysis to investigate the psychiatric impacts on health professionals in the face of the physical and psychological conditions to which they are subjected due to the high demands of the COVID-19 pandemic. Papers were researched in four databases from December 2019 to April 2020. In total, eight papers were included in the study. RESULTS: Health professionals working to fight COVID-19 are being more severely affected by psychiatric disorders associated with depression, anxiety, distress and insomnia, stress, and indirect traumatization than other occupational groups. No significant differences were observed in the publication bias. CONCLUSION: There is a strong association between health professionals and COVID-19 in terms of psychiatric repercussions. Our meta-analysis showed that health professionals have a higher level of indirect traumatization, in which the level of damage exceeds psychological and emotional tolerance and indirectly results in psychological abnormalities. The incidence of obsessive-compulsive traces and somatizations was higher in situations involving front-line professionals.


Asunto(s)
Infecciones por Coronavirus , Trastornos Mentales/etiología , Trastornos Mentales/psicología , Enfermedades Profesionales/etiología , Enfermedades Profesionales/psicología , Pandemias , Neumonía Viral , Ansiedad/etiología , Ansiedad/psicología , Depresión/etiología , Depresión/psicología , Personal de Salud , Humanos , Distrés Psicológico , Trastornos del Inicio y del Mantenimiento del Sueño/etiología , Trastornos del Inicio y del Mantenimiento del Sueño/psicología , Estrés Psicológico/epidemiología
4.
Work ; 67(4): 763-765, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33325426

RESUMEN

BACKGROUND: During the coronavirus disease (COVID-19) pandemic, people volunteered for sewing hand-made face masks. However, sewing-machine operating might be associated with high ergonomic risk and a negative impact on musculoskeletal health. OBJECTIVE AND METHODS: This paper describes an ultrasonographic diagnosis of a foot ganglion - after sewing 300 face masks within two months using a foot-operated sewing machine. RESULTS: The patient significantly improved after an ultrasound-guided aspiration and corticosteroid injection. CONCLUSION: In short, we highlight the importance of ultrasound examination in the management of work (overuse)-related disorders in occupational medicine practice.


Asunto(s)
Enfermedades del Pie/diagnóstico por imagen , Ganglión/diagnóstico por imagen , Enfermedades Profesionales/diagnóstico por imagen , Industria Textil , Voluntarios , Anestésicos Locales/administración & dosificación , Antiinflamatorios/administración & dosificación , /prevención & control , Trastornos de Traumas Acumulados/complicaciones , Drenaje/métodos , Femenino , Enfermedades del Pie/etiología , Traumatismos de los Pies/complicaciones , Ganglión/etiología , Humanos , Máscaras , Acetato de Metilprednisolona/administración & dosificación , Persona de Mediana Edad , Enfermedades Profesionales/etiología , Pandemias , Trimecaína/administración & dosificación , Ultrasonografía Intervencional
5.
Anaesthesiol Intensive Ther ; 52(5): 400-408, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33327699

RESUMEN

According to the Occupational Safety and Health Administration of the Department of Labor of the United States, the exposure risk for anaesthesiologists working with COVID-19 patients can be classified as high or very high. This is mostly due to fact that the anaesthesiologists work in close contact with patients' airways, and the aerosol-generating nature of some procedures they perform. Fortunately, despite the occupational hazard, the incidence of COVID-19 among anaesthesiologists and intensivists remains relatively low. Current evidence suggests that the majority of SARS-CoV-2 infections in this group were either contracted outside of the work environment or can be attributed to personal protective equipment (PPE) malfunction. This article focuses on different aspects of anaesthesiologists' safety, risks connected with different clinical scenarios and procedures, issues related to testing and screening, as well as modifiable and non-modifiable risk factors for severe illness or from COVID-19. This analysis is accompanied by a review of guidelines dedicated to mitigating said risks. Educating the personnel, introducing appropriate procedures, and proper utilisation of PPE are essential to the safety of all parties involved in hospital care, particularly those with significant exposure risk.


Asunto(s)
Anestesiología , Enfermedades Profesionales/etiología , Pandemias , /epidemiología , Cuidados Críticos , Guías como Asunto , Personal de Salud , Humanos , Incidencia , Enfermedades Profesionales/epidemiología , Quirófanos , Equipo de Protección Personal , Factores de Riesgo
6.
Ter Arkh ; 92(6): 89-92, 2020 Jul 09.
Artículo en Ruso | MEDLINE | ID: mdl-33346500

RESUMEN

Osteoarthritis is a common pathology, which indicates the great medical and social significance of this disease. The article discusses the issues of pathogenesis, risk factors and diagnosis of professional and professionally caused osteoarthritis: the age of onset of the disease, the specifics of work, the localization of joint damage. Differential diagnosis issues are discussed.


Asunto(s)
Enfermedades Profesionales , Osteoartritis , Humanos , Articulación de la Rodilla , Enfermedades Profesionales/diagnóstico , Enfermedades Profesionales/epidemiología , Enfermedades Profesionales/etiología , Osteoartritis/diagnóstico , Osteoartritis/epidemiología , Factores de Riesgo
7.
Diving Hyperb Med ; 50(4): 391-398, 2020 Dec 20.
Artículo en Inglés | MEDLINE | ID: mdl-33325021

RESUMEN

INTRODUCTION: Artisanal diving fishermen in Yucatán, Mexico have high rates of decompression sickness as a result of frequently unsafe diving practices with surface supplied compressed air. In this study, we investigated the prevalence of dysbaric osteonecrosis (DON), a type of avascular necrosis, in the most susceptible joints in a cohort of these fishermen. METHODS: We performed radiographs of bilateral shoulders, hips, and knees of 39 fishermen in Mexico and surveyed them about their medical and diving histories. We performed pairwise correlations to examine if the fishermen's diving behaviours affected the numbers of joints with DON. RESULTS: The radiographs revealed Grade II or higher DON in 30/39 (76.9%) of the fishermen. Twenty-two of 39 fishermen (56.4%) had at least two affected joints. The number of joints with DON positively correlates with the lifetime maximum diving depth and average bottom time. CONCLUSIONS: These findings represent among the highest prevalence rates of DON in divers and reflect the wide-spread scale of decompression sickness among these fishermen. Through this work, we hope to further educate the fishermen on the sequelae of their diving with the aim of improving their diving safety.


Asunto(s)
Enfermedad de Descompresión , Buceo , Enfermedades Profesionales , Osteonecrosis , Enfermedad de Descompresión/diagnóstico por imagen , Enfermedad de Descompresión/epidemiología , Enfermedad de Descompresión/etiología , Buceo/efectos adversos , Humanos , México/epidemiología , Enfermedades Profesionales/diagnóstico por imagen , Enfermedades Profesionales/epidemiología , Enfermedades Profesionales/etiología , Osteonecrosis/diagnóstico por imagen , Osteonecrosis/epidemiología , Osteonecrosis/etiología
9.
Environ Health Prev Med ; 25(1): 65, 2020 Oct 31.
Artículo en Inglés | MEDLINE | ID: mdl-33129267

RESUMEN

Occupational noise-induced hearing loss (ONIHL) is the most prevalent occupational disease in the world. The goal of this study was to review the epidemiology, pathogenesis, and preventive measures of ONIHL among workers and provide evidence for the implementation of control measures. Literature studies were identified from the MEDLINE, PubMed, Embase, Web of Science, and Google Scholar using the search terms "noise-induced hearing loss" "prevalence", "pathogenesis", and "preventive measures". The articles reviewed in this report were limited from 2000 to 2020. Articles that were not published in the English language, manuscripts without an abstract, and opinion articles were excluded. After a preliminary screening, all of the articles were reviewed and synthesized to provide an overview of the current status of ONIHL among workers. The mechanism of ONIHL among workers is a complex interaction between environmental and host factors (both genetic and acquired factors). The outcomes of noise exposure are different among individual subjects. Clinical trials are currently underway to evaluate the treatment effect of antioxidants on ONIHL. Noise exposure may contribute to temporary or permanent threshold shifts; however, even temporary threshold shifts may predispose an individual to eventual permanent hearing loss. Noise prevention programs are an important preventive measure in reducing the morbidity of ONIHL among workers.


Asunto(s)
Pérdida Auditiva Provocada por Ruido/prevención & control , Enfermedades Profesionales , Adulto , Anciano , Femenino , Pérdida Auditiva Provocada por Ruido/epidemiología , Pérdida Auditiva Provocada por Ruido/etiología , Humanos , Masculino , Persona de Mediana Edad , Ruido , Enfermedades Profesionales/epidemiología , Enfermedades Profesionales/etiología , Enfermedades Profesionales/prevención & control , Prevalencia , Adulto Joven
10.
PLoS One ; 15(11): e0241564, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33156851

RESUMEN

BACKGROUND: Dental professionals are subjected to higher risks for musculoskeletal disorders (MSDs) than other professional groups, especially the hand region. This study aims to investigate the prevalence of hand complaints among dentists (Ds) and dental assistants (DAs) and examines applied therapies. METHODS: For this purpose, an online questionnaire analysed 389 Ds (240female/149male) and 406 DAs (401female/5male) working in Germany. The self-reported data of the two occupational groups were compared with regard to the topics examined. The questionnaire was based on the Nordic Questionnaire (self-reported lifetime, 12-month and 7-day MSDs prevalence of the hand, the conducted therapy and its success), additional occupational and sociodemographic questions as well as questions about specific medical conditions. RESULTS: 30.8% of Ds affirmed MSDs in the hand at any time in their lives, 20.3% in the last twelve months and 9.5% in the last seven days. Among DAs, 42.6% reported a prevalence of MSDs in the hand at any time in their lives, 31.8% in the last 12 months and 15.3% in the last seven days. 37.5% of the Ds and 28.3% of the DAs stated that they had certain treatments. For both, Ds and DAs, physiotherapy was the most frequently chosen form of therapy. 89.7% of Ds and 63.3% of DAs who received therapy reported an improvement of MSDs. CONCLUSION: Although the prevalence of MSDs on the hand is higher among DAs than among Ds, the use of therapeutic options and the success of therapy is lower for DAs compared to Ds.


Asunto(s)
Asistentes Dentales/estadística & datos numéricos , Odontólogos/estadística & datos numéricos , Enfermedades Musculoesqueléticas/epidemiología , Enfermedades Profesionales/epidemiología , Autoinforme/estadística & datos numéricos , Adulto , Anciano , Estudios Transversales , Femenino , Alemania/epidemiología , Mano/fisiopatología , Humanos , Masculino , Persona de Mediana Edad , Enfermedades Musculoesqueléticas/etiología , Enfermedades Musculoesqueléticas/fisiopatología , Enfermedades Musculoesqueléticas/terapia , Enfermedades Profesionales/etiología , Enfermedades Profesionales/fisiopatología , Enfermedades Profesionales/terapia , Prevalencia , Factores de Riesgo , Adulto Joven
11.
Artículo en Inglés | MEDLINE | ID: mdl-32998195

RESUMEN

Many insulating materials are used in construction, although few have been reported to cause non-malignant respiratory illnesses. We aimed to investigate associations between exposures to insulating materials and non-malignant respiratory illnesses in insulators. In this cross-sectional study, 990 insulators (45 ± 14 years) were screened from 2011-2017 in Alberta. All participants underwent pulmonary function tests and chest radiography. Demographics, work history, and history of chest infections were obtained through questionnaires. Chronic obstructive pulmonary disease (COPD) was diagnosed according to established guidelines. Associations between exposures and respiratory illnesses were assessed by modified Poisson regression. Of those screened, 875 (88%) were males. 457 (46%) participants reported having ≥ 1 chest infection in the past 3 years, while 156 (16%) were diagnosed with COPD. In multivariate models, all materials (asbestos, calcium silicate, carbon fibers, fiberglass, and refractory ceramic fibers) except aerogels and mineral fibers were associated with recurrent chest infections (prevalence ratio [PR] range: 1.18-1.42). Only asbestos was associated with COPD (PR: 1.44; 95% confidence interval [CI]: 1.01, 2.05). Therefore, occupational exposure to insulating materials was associated with non-malignant respiratory illnesses, specifically, recurrent chest infections and COPD. Longitudinal studies are urgently needed to assess the risk of exposure to these newly implemented insulation materials.


Asunto(s)
Asbestos/toxicidad , Asbestosis/epidemiología , Enfermedades Profesionales/epidemiología , Exposición Profesional/estadística & datos numéricos , Alberta/epidemiología , Asbestos/análisis , Niño , Estudios Transversales , Humanos , Masculino , Fibras Minerales/análisis , Enfermedades Profesionales/etiología , Exposición Profesional/efectos adversos
12.
Artículo en Inglés | MEDLINE | ID: mdl-32998273

RESUMEN

This study examines demographic, physical and psychosocial factors associated with an increase in low back pain (LBP) during a one-hour standing task. A cross-sectional survey with 40 office workers was conducted. The primary outcome was pain severity during a one-hour standing task recorded every 15 min using a 100 mm Visual Analogue Scale (VAS). Participants were defined as pain developers (PD), if they reported a change in pain of ≥10 mm from baseline, or non-pain developers (NPD). Physical outcomes included participant-rated and examiner-rated trunk and hip motor control and endurance. Self-report history of LBP, physical activity, psychosocial job characteristics, general health and pain catastrophising were collected. Fourteen participants were PD. Hip abduction, abdominal and spinal muscle endurance was lower for PD (p ≤ 0.05). PD had greater self-reported difficulty performing active hip abduction and active straight leg raise tests (p ≤ 0.04). Those reporting a lifetime, 12 month or 7-day history of LBP (p < 0.05) and lower self-reported physical function (p = 0.01) were more likely to develop LBP during the standing task. In conclusion, a history of LBP, reduced trunk and hip muscle endurance and deficits in lumbopelvic/hip motor control may be important to consider in office workers experiencing standing-induced LBP.


Asunto(s)
Dolor de la Región Lumbar/epidemiología , Enfermedades Profesionales/epidemiología , Teorema de Bayes , Estudios Transversales , Femenino , Humanos , Dolor de la Región Lumbar/etiología , Enfermedades Profesionales/etiología , Dimensión del Dolor , Posición de Pie
13.
PLoS One ; 15(10): e0240615, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33057386

RESUMEN

Chronic exposure to noise is a detrimental environmental factor that can contribute to occupational noise-induced deafness (ONID) in industrial workers. ONID is caused by both environmental and genetic factors, and negatively impacts workers and manufacturing industries in China. Polymorphisms in the paraoxonase 2 gene (PON2) is associated with noise-induced hearing loss, and PON3 expression may modulate oxidative stress in cells and tissues by reducing the levels of reactive oxygen species, which are prominent in ONID. We conducted a matched case-control study to investigate whether PON3 polymorphisms and activity were associated with susceptibility to ONID. We genotyped PON3 single nucleotide polymorphisms (SNPs) using Sanger sequencing and measured the plasma PON3 activity using enzyme-linked immunosorbent assay. Conditional logistic regression models were fitted to evaluate the potential risk factors of ONID. A total of 300 subjects were included (n = 150 ONID and n = 150 control cases) from October 2017 to October 2019. We identified two types of genotypes for the PON3 SNPs. The independent risk factors for ONID were genotype CT and allele C with Odd's ratio (OR) = 2.12 (95% confidence interval [CI]: 1.18-3.84) and OR = 1.68 (95% CI: 1.06-2.66) for SNP rs11767787; AG and allele A with OR = 2.09 (95% CI: 1.25-3.47) and OR = 1.87 (95% CI: 1.19-2.93) for SNP rs13226149; and CT and allele T with OR = 2.59 (95% CI: 1.44-4.67) and OR = 1.95 (95% CI: 1.22-3.14) for SNP rs17882539, respectively. Furthermore, the plasma PON3 level (> 1504 U/L) was observed to be a protective factor associated with the lowest level of ONID (less than 991 U/L) after adjusting for confounding factors (OR = 0.27, 95% CI: 0.13-0.54). In conclusion, the PON3 polymorphisms rs11767787, rs13226149, and rs17882539 and plasma PON3 activity are associated with susceptibility to ONID in the Chinese population.


Asunto(s)
Arildialquilfosfatasa/genética , Predisposición Genética a la Enfermedad , Pérdida Auditiva Provocada por Ruido/genética , Ruido en el Ambiente de Trabajo/efectos adversos , Enfermedades Profesionales/etiología , Adulto , Estudios de Casos y Controles , China/epidemiología , Femenino , Pérdida Auditiva Provocada por Ruido/epidemiología , Humanos , Masculino , Instalaciones Industriales y de Fabricación , Persona de Mediana Edad , Enfermedades Profesionales/epidemiología , Polimorfismo de Nucleótido Simple , Factores de Riesgo
14.
Artículo en Chino | MEDLINE | ID: mdl-33036540

RESUMEN

Objective: To investigate the risk of occupational hearing loss caused by noise exposure in an automobile parts manufacturing enterprise. Methods: In June 2019, an automobile parts manufacturing enterprise in Huizhou City was selected to conduct occupational hygiene field investigation, and occupational health investigation and occupational hazards detection were carried out in the workplace. 395 workers with 8-hour working day equivalent sound level (L(ex·8 h)) ≥85 dB (a) were selected as the research objects. The occupational noise exposure risk assessment method was used to assess the noise exposure risk of L(ex·8 h)≥85 dB (a) , and the risk of high-frequency hearing loss and occupational noise deafness caused by noise exposure were evaluated when the working years were 10, 20, 30, 35 and 40. Results: When the exposure years were less than or equal to 30 years, the risk of high-frequency hearing loss of bearing pedestal final examiners was medium risk, and the risk of other positions was acceptable; the highest risk of noise deafness was the bearing pedestal final examiner, and the risk classification was higher, and the other types of work were negligible risk and acceptable risk. When the exposure years are more than 30 years, the risk classification of high-frequency hearing loss of bearing pedestal final inspection workers is high-risk, and the risk classification of other types of work is medium risk; the highest risk of noise deafness is the bearing pedestal final inspection workers, and the risk classification is higher risk, and the other types of work are medium risk. Conclusion: The enterprise should pay attention to the risk of occupational hearing loss caused by noise exposure, especially the bearing pedestal final inspection workers, and strengthen the hearing protection of noise exposed people.


Asunto(s)
Pérdida Auditiva Provocada por Ruido , Ruido en el Ambiente de Trabajo , Enfermedades Profesionales , Exposición Profesional , Automóviles , Pérdida Auditiva Provocada por Ruido/epidemiología , Pérdida Auditiva Provocada por Ruido/etiología , Humanos , Ruido en el Ambiente de Trabajo/efectos adversos , Enfermedades Profesionales/epidemiología , Enfermedades Profesionales/etiología , Exposición Profesional/efectos adversos , Medición de Riesgo
15.
Ann Cardiol Angeiol (Paris) ; 69(5): 227-232, 2020 Nov.
Artículo en Francés | MEDLINE | ID: mdl-33059875

RESUMEN

The COVID-19 pandemic has swept through our hospitals which have had to adapt as a matter of urgency. We are aware that a health crisis of this magnitude is likely to generate mental disorders particularly affecting exposed healthcare workers. Being so brutal and global, this one-of the kind pandemic has been impacting the staff in their professional sphere but also within their private circle. The COV IMPACT study is an early assessment survey conducted for 2 weeks in May 2020, of the perception by all hospital workers of the changes induced in their professional activity by the pandemic. The study was carried out by a survey sent to the hospital staff of Béziers and Montfermeil. The readjusted working conditions were source of increased physical fatigue for 62 % of the respondents. Moral exhaustion was reported by 36 %. It was related to the stress of contracting the infection (72 %) but above all of transmitting it to relatives (89 %) with a broad perception of a vital risk (41 %). This stress affected all socio-professional categories (CSP) and was independent of exposure to COVID. Change in organisation, lack of information and protective gear and equipment were major factors of insecurity at the start of the epidemic. Work on supportive measures is necessary. It should focus on the spread of information, particularly towards the youngest, as well as bringing more psychological support and a larger amount of medical equipment, beyond healthcare workers and the COVID sectors.


Asunto(s)
Betacoronavirus , Infecciones por Coronavirus/epidemiología , Personal de Hospital/psicología , Neumonía Viral/epidemiología , Estrés Psicológico/etiología , Adulto , Infecciones por Coronavirus/psicología , Infecciones por Coronavirus/transmisión , Familia , Fatiga/etiología , Fatiga/psicología , Francia/epidemiología , Encuestas Epidemiológicas , Humanos , Difusión de la Información , Persona de Mediana Edad , Moral , Enfermedades Profesionales/etiología , Enfermedades Profesionales/psicología , Innovación Organizacional , Pandemias , Equipo de Protección Personal/provisión & distribución , Neumonía Viral/psicología , Neumonía Viral/transmisión , Estrés Psicológico/psicología , Adulto Joven
16.
J Clin Psychiatry ; 81(6)2020 10 20.
Artículo en Inglés | MEDLINE | ID: mdl-33084255

RESUMEN

OBJECTIVE: In light of the current evolving coronavirus disease 2019 (COVID-19) pandemic, and the need to learn from past infectious disease outbreaks to provide better psychological support for our frontline health care workers (HCW), we conducted a rapid review of extant studies that have reported on both psychological and coping responses in HCW during recent outbreaks. DATA SOURCES: We performed a systematic search of the available literature using PubMed, MEDLINE (Ovid), and Web of Science, combining key terms regarding recent infectious disease outbreaks and psychological and coping responses. Papers published from database inception to April 20, 2020, were considered for inclusion. Only studies in the English language and papers from peer-reviewed journals were included. STUDY SELECTION: We identified 95 (PubMed) and 49 papers (Web of Science) from the database search, of which 23 papers were eventually included in the review. DATA EXTRACTION: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were used for data extraction. The McMaster University critical appraisal tool was used to appraise quantitative studies. Guidelines by Higginbotham and colleagues were used to appraise qualitative studies. Only studies exploring the combined psychological and coping responses of HCW amid infectious diseases were included. RESULTS: Salient psychological responses that can persist beyond the outbreaks included anxiety/fears, stigmatization, depression, posttraumatic stress, anger/frustration, grief, and burnout, but also positive growth and transformation. Personal coping methods (such as problem solving, seeking social support, and positive thinking) alongside workplace measures (including infection control and safety, staff support and recognition, and clear communication) were reported to be helpful. CONCLUSIONS: Psychological support for HCW in the current COVID-19 pandemic and future outbreaks should focus on both individual (eg, psychoeducation on possible psychological responses, self-care) and institutional (eg, clear communication, providing access to resources for help, recognition of efforts of HCW) measures.


Asunto(s)
Adaptación Psicológica , Betacoronavirus , Infecciones por Coronavirus/psicología , Personal de Salud/psicología , Trastornos Mentales/etiología , Enfermedades Profesionales/etiología , Neumonía Viral/psicología , Resiliencia Psicológica , Infecciones por Coronavirus/prevención & control , Salud Global , Humanos , Control de Infecciones , Trastornos Mentales/prevención & control , Trastornos Mentales/psicología , Enfermedades Profesionales/prevención & control , Enfermedades Profesionales/psicología , Pandemias/prevención & control , Neumonía Viral/prevención & control , Apoyo Social
17.
Emergencias ; 32(5): 369-371, 2020 09.
Artículo en Inglés, Español | MEDLINE | ID: mdl-33006841
18.
Cancer Sci ; 111(12): 4581-4593, 2020 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-32975871

RESUMEN

We aimed to examine whether the number of types of hazardous operations at work experienced through a lifetime is associated with cancer incidence, and additionally examined the combined effects with lifestyle-related factors. Using a nationwide, multicenter, hospital inpatient dataset (2005-2015), we conducted a matched case-control study with 1 149 296 study subjects. We classified the participants into those with none, 1, or 2 or more types of hazardous operation experience, based on information of special medical examinations taken, mandatory in Japan for workers engaged in hazardous operations. Using those with no experience as the reference group, we estimated the odds ratios for cancer incidence (all sites, lung, stomach, colon and rectum, liver, pancreas, bile duct, and bladder) by conditional logistic regression with multiple imputations. We also examined the effects of the combination with hazardous operations and lifestyle-related factors. We observed increased risks for cancer of all sites, and lung, pancreas, and bladder cancer associated with the experience of hazardous operations. Multivariable-adjusted ORs (95% CIs) of cancer incidence of all sites were 1 (reference), 1.16 (1.12, 1.21), and 1.17 (1.08, 1.27) for none, 1, and 2 or more types of hazardous operation experience, respectively (P for trend <.001). Potential combined associations of hazardous operations with smoking were observed for lung, pancreas, and bladder cancer, and with diabetes for pancreas cancer. Engaging in hazardous operations at work and in combination with lifestyle-related factors may increase the risk of cancer. We highlight the potential for those engaged in hazardous work to avoid preventable cancers.


Asunto(s)
Estilo de Vida , Neoplasias/epidemiología , Enfermedades Profesionales/epidemiología , Exposición Profesional/efectos adversos , Anciano , Asbestos/toxicidad , Neoplasias de los Conductos Biliares/epidemiología , Neoplasias de los Conductos Biliares/etiología , Estudios de Casos y Controles , Neoplasias del Colon/epidemiología , Neoplasias del Colon/etiología , Bases de Datos Factuales/estadística & datos numéricos , Polvo , Femenino , Sustancias Peligrosas/toxicidad , Humanos , Incidencia , Japón/epidemiología , Neoplasias Hepáticas/epidemiología , Neoplasias Hepáticas/etiología , Modelos Logísticos , Neoplasias Pulmonares/epidemiología , Neoplasias Pulmonares/etiología , Masculino , Neoplasias/etiología , Enfermedades Profesionales/etiología , Exposición Profesional/análisis , Exposición Profesional/clasificación , Oportunidad Relativa , Neoplasias Pancreáticas/epidemiología , Neoplasias Pancreáticas/etiología , Exposición a la Radiación/efectos adversos , Neoplasias del Recto/epidemiología , Neoplasias del Recto/etiología , Neoplasias Gástricas/epidemiología , Neoplasias Gástricas/etiología , Neoplasias de la Vejiga Urinaria/epidemiología , Neoplasias de la Vejiga Urinaria/etiología
19.
Undersea Hyperb Med ; 47(3): 471-475, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32931675

RESUMEN

When commercial sea harvesters have dive accidents, it is sometimes difficult to obtain an accurate dive history and make a definitive diagnosis. We report a sea harvest diver who dived to collect sea snails (Rapana venosa) by using a hookah dive system. He experienced mediastinal and subcutaneous emphysema due to interruption of breathing airflow. Thoracic computed tomography performed one year prior to the accident revealed paramediastinal subpleural blebs on both lung apices. Emphysema was resolved by administering normobaric oxygen.


Asunto(s)
Buceo/efectos adversos , Enfisema Mediastínico/etiología , Enfermedades Profesionales/etiología , Enfisema Subcutáneo/etiología , Adulto , Humanos , Masculino , Enfisema Mediastínico/diagnóstico por imagen , Enfisema Mediastínico/terapia , Enfermedades Profesionales/diagnóstico por imagen , Enfermedades Profesionales/terapia , Oxígeno/uso terapéutico , Enfisema Subcutáneo/diagnóstico por imagen , Enfisema Subcutáneo/terapia , Tomografía Computarizada por Rayos X
20.
Cochrane Database Syst Rev ; 9: CD013628, 2020 09 16.
Artículo en Inglés | MEDLINE | ID: mdl-32936947

RESUMEN

BACKGROUND: COVID-19 infection poses a serious risk to patients and - due to its contagious nature - to those healthcare workers (HCWs) treating them. The risks of transmission of infection are greater when a patient is undergoing an aerosol-generating procedure (AGP). Not all those with COVID-19 infection are symptomatic, or suspected of harbouring the infection. If a patient who is not known to have or suspected of having COVID-19 infection is to undergo an AGP, it would nonetheless be sensible to minimise the risk to those HCWs treating them. If the mouth and nose of an individual undergoing an AGP are irrigated with antimicrobial solutions, this may be a simple and safe method of reducing the risk of any covert infection being passed to HCWs through droplet transmission or direct contact. Alternatively, the use of antimicrobial solutions by the HCW may decrease the chance of them acquiring COVID-19 infection. However, the use of such antimicrobial solutions may be associated with harms related to the toxicity of the solutions themselves or alterations in the natural microbial flora of the mouth or nose. OBJECTIVES: To assess the benefits and harms of antimicrobial mouthwashes and nasal sprays administered to HCWs and/or patients when undertaking AGPs on patients without suspected or confirmed COVID-19 infection. SEARCH METHODS: Information Specialists from Cochrane ENT and Cochrane Oral Health searched the Central Register of Controlled Trials (CENTRAL 2020, Issue 6); Ovid MEDLINE; Ovid Embase and additional sources for published and unpublished trials. The date of the search was 1 June 2020.  SELECTION CRITERIA: This is a question that urgently requires evidence, however at the present time we did not anticipate finding many completed RCTs. We therefore planned to include the following types of studies: randomised controlled trials (RCTs); quasi-RCTs; non-randomised controlled trials; prospective cohort studies; retrospective cohort studies; cross-sectional studies; controlled before-and-after studies. We set no minimum duration for the studies.   We sought studies comparing any antimicrobial mouthwash and/or nasal spray (alone or in combination) at any concentration, delivered to the patient or HCW before and/or after an AGP. DATA COLLECTION AND ANALYSIS: We used standard Cochrane methodological procedures. Our primary outcomes were: 1) incidence of symptomatic or test-positive COVID-19 infection in HCWs or patients; 2) significant adverse event: anosmia (or disturbance in sense of smell). Our secondary outcomes were: 3) COVID-19 viral content of aerosol (when present); 4) change in COVID-19 viral load at site(s) of irrigation; 5) other adverse events: changes in microbiome in oral cavity, nasal cavity, oro- or nasopharynx; 6) other adverse events: allergy, irritation/burning of nasal, oral or oropharyngeal mucosa (e.g. erosions, ulcers, bleeding), long-term staining of mucous membranes or teeth, accidental ingestion. We planned to use GRADE to assess the certainty of the evidence for each outcome. MAIN RESULTS: We found no completed studies to include in this review.   AUTHORS' CONCLUSIONS: We identified no studies for inclusion in this review, nor any ongoing studies. The absence of completed studies is not surprising given the relatively recent emergence of COVID-19 infection. However, we are disappointed that this important clinical question is not being addressed by ongoing studies.


Asunto(s)
Antiinfecciosos/administración & dosificación , Betacoronavirus , Infecciones por Coronavirus/transmisión , Personal de Salud , Transmisión de Enfermedad Infecciosa de Paciente a Profesional/prevención & control , Antisépticos Bucales/administración & dosificación , Rociadores Nasales , Neumonía Viral/transmisión , Administración Intranasal , Microbiología del Aire , Antiinfecciosos/efectos adversos , Infecciones Asintomáticas/terapia , Infecciones por Coronavirus/prevención & control , Infecciones por Coronavirus/terapia , Humanos , Boca/virología , Antisépticos Bucales/efectos adversos , Nariz/virología , Enfermedades Profesionales/etiología , Enfermedades Profesionales/prevención & control , Pandemias/prevención & control , Neumonía Viral/prevención & control , Neumonía Viral/terapia
SELECCIÓN DE REFERENCIAS
DETALLE DE LA BÚSQUEDA