Strategies for maintaining and strengthening the health care workers during epidemics: a scoping review.

INTRODUCTION: During epidemics such as COVID-19, healthcare workers (HCWs) face several challenges, leading to a shortage and weakening of human resources. To address this issue, employing effective strategies is essential in maintaining and strengthening human resources during outbreaks. This study aimed to gather and classify strategies that could retain and strengthen human health resources during epidemics. METHODS: In this scoping review, all studies published about strategies for maintaining and strengthening HCWs in epidemics were collected from 4 international databases, including PubMed, Embase, Scopus, and Web of Science. The English language articles published after 2000 up until June 2022 recommended specific strategies regarding the research question. Then, they were analyzed and classified according to thematic analysis based on Braun and Clarke 6 phases protocols. RESULTS: In total, 9405 records were screened, of which 59 articles were included, and their full texts were reviewed. Fifty factors were identified and classified into five themes: Instruction, Protection, Supporting, Caring, and Communication. Most of the suggestions were conducted in high-income countries and related to the Supporting theme. DISCUSSION: The majority of strategies discussed in the literature addressed only one or two aspects of human resources. This study provides a holistic perspective on these issues by providing a thematic map of different strategies for strengthening and maintaining HCWs during epidemics. Considering the multidimensionality of human nature, it is suggested that policymakers and managers of health systems provide facilities that simultaneously address a wide range of needs.

Artificial Intelligence Functionalities During the COVID-19 Pandemic.

BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic has led us to use virtual solutions and emerging technologies such as artificial intelligence (AI). Recent studies have clearly demonstrated the role of AI in health care and medical practice; however, a comprehensive review can identify potential yet not fulfilled functionalities of such technologies in pandemics. Therefore, this scoping review study aims at assessing AI functionalities in the COVID-19 pandemic in 2022. METHODS: A systematic search was carried out in PubMed, Cochran Library, Scopus, Science Direct, ProQuest, and Web of Science from 2019 to May 9, 2022. Researchers selected the articles according to the search keywords. Finally, the articles mentioning the functionalities of AI in the COVID-19 pandemic were evaluated. Two investigators performed this process. RESULTS: Initial search resulted in 9123 articles. After reviewing the title, abstract, and full text of these articles, and applying the inclusion and exclusion criteria, 4 articles were selectd for the final analysis. All 4 were cross-sectional studies. Two studies (50%) were performed in the United States, 1 (25%) in Israel, and 1 (25%) in Saudi Arabia. They covered the functionalities of AI in the prediction, detection, and diagnosis of COVID-19. CONCLUSIONS: To the extent of the researchers' knowledge, this study is the first scoping review that assesses the AI functionalities in the COVID-19 pandemic. Health-care organizations need decision support technologies and evidence-based apparatuses that can perceive, think, and reason not dissimilar to human beings. Potential functionalities of such technologies can be used to predict mortality, detect, screen, and trace current and former patients, analyze health data, prioritize high-risk patients, and better allocate hospital resources in pandemics, and generally in health-care settings.

Quality of life and sleep disorders in Tehran Employees Cohort (TEC); Association with secondhand smoking and wealth index.

PURPOSE: Second-hand smoke is recognized as a major indoor pollutant. Evidences indicated that Second-hand smoke exposure can influence on not only physical health, but also mental well-being. As the correlation of secondhand smoke exposure with sleep quality and quality of life has not yet been clarified sufficiently, the purpose of this study was to evaluate the association between Second-hand smoke exposure, with sleep quality and quality of life after adjusting for active smoking and other relevant confounders. METHODS: The participants of this study were 1790 staff in Tehran University of Medical Sciences with different jobs employed in various academic departments (clinical, research, services, educational and technical ones). They participated voluntarily in this research project and completed the informed consent form between 2018 and 2019. A translated questionnaire of Global Adult Tobacco Survey was used to gather information about smoke exposure. When to evaluate the quality of life, the WHOQOL-BREF tool was applied. All statistical analyses were executed using STATA V14 software. RESULTS: High rate of smoking and also exposure to second-hand smoke significantly increased sleep disorder and reduced the quality of life. In other words, smokers or those who are exposed to second-hand smoke suffer from sleep disturbances and had a poorer physical, psychological, and environmental quality of life. Additionally, the results of multivariate regression analysis demonstrated that the secondhand-smoke group had 1.38 times higher rate of sleep disorder in comparison with non-smokers, that was statistically significant. The women had 2.68 times higher odds of having sleep disorder compared to men. (95 % CI: 2.20 to 3.27). On the other hand, mean score of psychological domain of quality of life in secondhand-smoke group was lower with the size of difference as 0.66 than that in non-smokers, and the difference was statistically significant (p = 0.001). CONCLUSIONS: Both active smoking and exposure to second hand smoke have a negative impact on sleep quality and quality of life.

Health risk assessment of nitrate in groundwater resources of Iranshahr using Monte Carlo simulation and geographic information system (GIS).

Because of exposure to a wide range of chemical contaminants such as nitrate via potable water resources, the use of the approaches to set standards for drinking water quality and also to do a risk assessment is necessary for maintaining the public health. High levels of nitrate in drinking water can have adverse health effects; primarily for infants and pregnant women. So, the present study aimed to the assessment of nitrate health risk in drinking water resources of the Iranshahr city, Sistan and Baluchistan province and also, evaluation of the uncertainty of nitrate and the probability of contamination occurrence by Monte-Carlo Simulation (MCS) technique. Besides, the geographic information system (Arc GIS, Ver 10.3) was applied to mapping the nitrate concentration in groundwater resources of the studied area. For these aims, the numbers of 66 samples were collected from rural groundwater resources, and nitrate concentration was measured using a Spectrophotometer in wavelength of 220 nm. According to the results, the nitrate concentration was in the range of 6.49 mg/L, and its average level was 6.15 mg/L. Also, the simulation results with 90% confidence showed that the hazard equitant (HQ) in the infant groups, children-teenagers and adults was less than 0.331, 0.311, 0.312, and 0.3, respectively.

Protocol for the estimation of drinking water quality index (DWQI) in water resources: Artificial neural network (ANFIS) and Arc-Gis.

Drinking water sources may be polluted by various pollutants depending on geological conditions and agricultural, industrial, and other human activities. Ensuring the safety of drinking water is, therefore, of a great importance. The purpose of this study was to assess the quality of drinking groundwater in Bardaskan villages and to determine the water quality index. Water samples were taken from 30 villages and eighteen parameters including calcium hardness (CaH), total hardness (TH), turbidity, pH, temperature, total dissolved solids (TDS), electrical conductivity (EC), alkalinity (ALK), magnesium (Mg2+), calcium (Ca2+), potassium (K+), sodium (Na+), sulphate (SO4 2-), bicarbonate (HCO3 -), fluoride (F-), nitrate (NO3 -), nitrite (NO2 -) and chloride (Cl-) were analyzed for the purpose for this study. The water quality index of groundwater has been estimated by using the ANFIS. The spatial locations are shown using GPS. The results of this study showed that water hardness, electrical conductivity, sodium and sulfate in 66, 13, 45 and 12.5% of the studied villages were higher than the Iranian drinking water standards, respectively. Based on the Drinking Water Quality Index (DWQI), water quality in 3.3, 60, 23.3 and 13.3% of villages was excellent, good, poor and very poor, respectively. •Groundwater is one of the sources of drinking water in arid and semi-arid regions such as Bardaskan villages, which monitor the quality of these resources in planning for improving the quality of water resources.•The DWQI can clearly provide information associated with the status of water quality resources in Bardaskan villages.•The results of this study clearly indicated that with appropriate selection of input variables, ANFIS as a soft computing approach can estimate water quality indices properly and reliably.•Some parameters were in the undesirable level is some villages. Therefore, the government should try to improve the chemical and physical quality of drinking water in these areas with the necessary strategies.

Data for interventional role of training in changing the knowledge and attitudes of urban mothers towards food hygiene (A case study of Ravansar Township, Kermanshah, Iran).

Food hygiene is a key factor at the time of production and distribution of food. Therefore, the present study aimed to assess the interventional role of education in changing the knowledge and attitudes of urbane mothers towards food hygiene in Ravansar Township, Kermanshah, Iran. To this end, 200 mothers residing in Ravansar Township were selected using simple random sampling. First, the subjects' knowledge and attitudes towards food hygiene were evaluated in a pre-test, and then after holding some educational sessions, the two variables were assessed again in a post-test using a researcher-made questionnaire with 72 questions. The reliability and validity of the questionnaire were evaluated using Cronbach's alpha and content validity, respectively. After completing the questionnaires, the results were analyzed using the SPSS Statistical Software Version 21.0, and all tests were at the significance level of α = 0.05. The results of the present study demonstrated that education did not promote the knowledge of married subjects, those whose use of media was average or high, and the ones aged above 20 (P > 0.05). However, the results showed that education had significant effects on other factors (P < 0.05). In addition, it was revealed that the effects of education on promoting the attitudes of individuals aged above 60, those holding academic education and married subjects were not significant (P > 0.05), Nevertheless, the results revealed that education had significant effects on other factors (P < 0.05). Hence, it can be concluded that education plays a major role in changing the knowledge and attitudes of urban mothers towards food hygiene.