scholarly journals Monitoring health care workers at risk for COVID-19 using wearable sensors and smartphone technology: Protocol for an observational mobile health study (Preprint)

10.2196/29562 ◽  
2021 ◽  
Author(s):  
Caroline A. Clingan ◽  
Manasa Dittakavi ◽  
Michelle Rozwadowski ◽  
Kristen N. Gilley ◽  
Christine R. Cislo ◽  
...  
Keyword(s):  
Health Care ◽  
At Risk ◽  
Mobile Health ◽  
Health Care Workers ◽  
Wearable Sensors ◽  
Health Study ◽  
Care Workers ◽  
Smartphone Technology

scholarly journals 460. Point-of-Care, In-Home SARS-CoV-2 IgG Antibody Testing to Assess Seroprevalence in At-Risk Health Care Workers

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S297-S297
Author(s):  
Eric G Meissner ◽  
Christine Litwin ◽  
Tricia Crocker ◽  
Elizabeth Mack ◽  
Lauren Card
Keyword(s):  
Health Care ◽  
At Risk ◽  
Health Care Workers ◽  
Medical Center ◽  
Point Of Care ◽  
Academic Medical Center ◽  
Significant Risk ◽  
Documented Infection ◽  
Inconclusive Result ◽  
Care Workers

Abstract Background Health care workers are at significant risk for infection with the novel coronavirus SARS-CoV-2. Methods We utilized a point-of-care, lateral flow SARS-CoV-2 IgG immunoassay (RayBiotech) to conduct a seroprevalence study in a cohort of at-risk health care workers (n=339) and normal-risk controls (n=100) employed at an academic medical center. To minimize exposure risk while conducting the study, consents were performed electronically, tests were mailed and then self-administered at home using finger stick blood, and subjects uploaded a picture of the test result while answering an electronic questionnaire. We also validated the assay using de-identified serum samples from patients with PCR-proven SARS-CoV-2 infection. Results Between April 14th and May 6th 2020, 439 subjects were enrolled. Subjects were 68% female, 93% white, and most were physicians (38%) and nurses (27%). In addition, 37% had at least 1 respiratory symptom in the prior month, 34% had cared for a patient with known SARS-CoV-2 infection, 57% and 23% were worried about exposure at work or in the community, respectively, and 5 reported prior documented SARS-CoV-2 infection. On initial testing, 3 subjects had a positive IgG test, 336 had a negative test, and 87 had an inconclusive result. Of those with an inconclusive result who conducted a repeat test (85%), 96% had a negative result. All 3 positive IgG tests were in subjects reporting prior documented infection. Laboratory validation showed that of those with PCR-proven infection more than 13 days prior, 23/30 were IgG positive (76% sensitivity), whereas 1/26 with a negative prior PCR test were seropositive (95% specificity). Repeat longitudinal serologic testing every 30 days for up to 4 times is currently in progress. Conclusion We conducted a contact-free study in the setting of a pandemic to assess SARS-CoV-2 seroprevalence in an at-risk group of health care workers. The only subjects found to be IgG positive were those with prior documented infection, even though a substantial proportion of subjects reported significant potential occupational or community exposure and symptoms that were potentially compatible with SARS-COV-2 infection. Disclosures All Authors: No reported disclosures

COVID-19 in healthcare workers (literature review and own data)

2021 ◽  
Vol 61 (1) ◽  
pp. 18-26
Author(s):  
Lyubov A. Shpagina ◽  
Lyudmila P. Kuzmina ◽  
Olga S. Kotova ◽  
Ilya S. Shpagin ◽  
Natalya V. Kamneva ◽  
...  
Keyword(s):  
Health Care ◽  
At Risk ◽  
Health Care Workers ◽  
Work Experience ◽  
Medical Personnel ◽  
Scientific Data ◽  
Main Group ◽  
Panic Attacks ◽  
Care Workers ◽  
Occupational Infection

Introduction. Health care workers are at risk of infection with the SARS-CoV-2 virus. However, many aspects of the professionally conditioned COVID-19 are still poorly understood. The aim of study is to conduct a brief review and analysis of scientific data on the prevalence, features of clinical and laboratory COVID-19 syndromes in medical professionals. To evaluate the structure of post-COVID syndrome in health care workers who are observed in a large multidisciplinary medical organization that has a center for occupational pathology. To present the current state of the problem of examination of the connection of COVID-19 with the profession and admission to work in conditions of high risk of SARS-CoV-2 infection. Materials and methods. At the first stage, a brief review of the literature on the problem of COVID-19 in health care workers was performed, at the second - a single-center observational prospective study of COVID-19 convalescents. The main group consisted of health care workers (n=203), the comparison group - people who do not have occupational health risks (n=156). The groups were comparable in demographic characteristics. The work experience of the medical staff was 15 (5; 21) years. Of the participants in the main group, 20.2% worked in hospitals, and 79.8% in outpatient institutions. Three of the participants (1.5%) were employees of specialized COVID hospitals. Doctors were 25.6%, secondary medical personnel - 51.7%, junior medical and technical personnel - 22.7%. A severe form of COVID-19 was suffered by 25 (12.3%) people, after the artificial ventilation of the lungs (AVL) - two participants. The observation time is 60 days. Statistical analysis included standard methods of descriptive statistics, determination of relationships by the method of logistic regression. The significance level is p<0.05. Results. Most of the known data on COVID-19 in health care workers is obtained in cross-sectional studies. The possibility of occupational infection has been sufficiently proven. The risk probably depends on the work performed and is higher in conditions of direct contact of medical personnel with adults, potentially infected patients, but not in a specialized hospital. It is possible that the course of COVID-19 in health care workers differs from the general population of patients there is evidence of a greater frequency of weakness and myalgia. Studies of the features of post-COVID syndrome in health care workers in available sources could not be identified. According to the results of their own research, health care workers who had experienced COVID-19 had a higher frequency of central thermoregulation disorders, arrhythmias, heart failure, panic attacks and depression. Conclusions. Health care workers are at risk of COVID-19. Professionally conditioned post-COVID syndrome is characterized by the frequency of violations of the central mechanisms of thermoregulation and arrhythmias. COVID-19 in health care workers meets the definition of occupational disease.

scholarly journals Predictors of Seroprevalence of Hepatitis C Infection among Health Care Workers in Nigeria; A Year after Post Implementation of Nigeria’s National Hepatitis Prevention Policy

2021 ◽  
Vol 13 (7) ◽  
pp. 32
Author(s):  
Theresa Nwagha ◽  
Babatunde I Omotowo ◽  
Uchenna N Ijoma ◽  
Ijeoma A Meka ◽  
Obinna D Onodugo ◽  
...  
Keyword(s):  
Health Care ◽  
At Risk ◽  
Hepatitis C ◽  
Mass Screening ◽  
Health Care Workers ◽  
Hcv Infection ◽  
Public Health Issue ◽  
Prevention Policy ◽  
Care Workers ◽  
Mode Of Transmission

BACKGROUND: Hepatitis C virus (HCV) infection is a global public health issue. Health care workers (HCWs) are particularly at risk. Nigeria hepatitis prevention policy aims to achieve country wide elimination of hepatitis through early detection using mass screening with life-style modifications of &ldquo;at risk population&rdquo; which are key preventive strategies. AIM: To determine the seroprevalence of HCV infection among HCWs in a large regional referral hospital in Nigeria METHODS: A hospital-based descriptive cross-sectional study (hepatitis mass screening) was done at the University of Nigeria Teaching Hospital, Enugu, Nigeria between July and August 2016. Non-randomised sampling was used. Blood samples were assayed for antibodies to HCV. Data on knowledge, risk factors and mode of transmission were collected using a structured, pre-validated, pretested, questionnaire and analysed using SPSS version 20. RESULTS: A total of 3132 out of 5144 (60.9%) HCWs participated in the study. The seroprevalence of hepatitis C among UNTH staff was 0.90% (28/3132). The mean knowledge score of 68.95% &plusmn; 24.23 and 56.70&plusmn;17.25 translates to fair knowledge level about mode of transmission and risk of transmission of hepatitis C among HCWs, respectively. There was no reported case of hepatitis B and C co-infection. Females HCWs had highest sero-prevalence for HCV 17/5144 (0.33%) (P = 0.164, AOR= 1.76, 95%CI =0.431-2.413) CONCLUSION: This study found a low seropositivity of HCV among HCWs. A pointer to the possible success of the hospital-based education awareness programme, an implementation of Nigeria&rsquo;s national hepatitis prevention policy.

scholarly journals Monitoring health care workers at risk for COVID-19 using wearable sensors and smartphone technology: Protocol for an observational mobile health study (Preprint)

2021 ◽  
Author(s):  
Caroline A. Clingan ◽  
Manasa Dittakavi ◽  
Michelle Rozwadowski ◽  
Kristen N. Gilley ◽  
Christine R. Cislo ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Wearable Sensors ◽  
Study Entry ◽  
Single Institution ◽  
Self Monitoring ◽  
Prospective Longitudinal Study ◽  
Care Workers ◽  
One Year ◽  
Prospective Longitudinal

BACKGROUND Health care workers (HCWs) have been working in the frontlines of the COVID-19 pandemic with high risks of viral exposure, infection, and transmission. Standard COVID-19 testing is insufficient to protect HCWs from these risks and prevent the spread of disease. Continuous monitoring of physiological data with wearable sensors, self-monitoring of symptoms, and asymptomatic COVID testing may aid in the early detection of COVID-19 in HCWs and may help reduce further transmission among HCWs, patients, and families. OBJECTIVE By using wearable sensors, smartphone-based symptom logging, and biospecimens, this project aimed to assist HCWs in self-monitoring of COVID-19. METHODS We conducted a prospective, longitudinal study of HCWs at a single institution. Study duration was one year, wherein participants were instructed on the continuous use of two wearable sensors (Fitbit Charge 3 smartwatch and TempTraq temperature patches) for up to 30-days. Participants consented to providing biospecimens (e.g., nasal swabs, saliva swabs, blood) for up to one year from study entry. Using a smartphone app called Roadmap 2.0, participants entered a daily mood score, submitted daily COVID-19 symptoms, and completed demographic and health-related quality of life (HRQOL) surveys at study entry and 30 days later. Semi-structured qualitative interviews were also conducted at the end of the 30-day period, following completion of daily mood and symptoms reporting as well as continuous wearable sensor use. RESULTS Two hundred twenty-six HCWs were enrolled between April 28, 2020 and December 07, 2020. The last participant completed the 30-day study procedures on January 16, 2021. Data collection will continue through January 2023, and data analyses are ongoing. CONCLUSIONS Using wearable sensors, smartphone-based symptom logging and survey completion, and biospecimen collections, this study will potentially provide data on the prevalence of COVID-19 infection among HCWs at a single institution. The study will also assess the feasibility of leveraging wearable sensors and self-monitoring of symptoms in a HCW population. CLINICALTRIAL ClinicalTrials.gov #NCT04756869

scholarly journals Mercury in dental amalgam: Are our health care workers at risk?

2016 ◽  
Vol 66 (11) ◽  
pp. 1077-1083 ◽  
Author(s):  
M. Sahani ◽  
N.S. Sulaiman ◽  
B.S. Tan ◽  
N.A. Yahya ◽  
Z.F. Anual ◽  
...  
Keyword(s):  
Health Care ◽  
At Risk ◽  
Health Care Workers ◽  
Dental Amalgam ◽  
Care Workers

Slips, Trips, and Falls in Homes: Home Health Care Workers at Risk

2016 ◽  
Vol 70 (4_Supplement_1) ◽  
pp. 7011515236p1
Author(s):  
Amy Darragh ◽  
Carolyn Sommerich ◽  
Steve Lavender ◽  
Celia Wills ◽  
Barbara Polivka ◽  
...  
Keyword(s):  
Health Care ◽  
At Risk ◽  
Home Health Care ◽  
Health Care Workers ◽  
Home Health ◽  
Care Workers

AIDS in Infancy: Diagnostic, Therapeutic, and Ethical Problems

1989 ◽  
Vol 34 (6) ◽  
pp. 576-580 ◽  
Author(s):  
J. Wittenberg ◽  
A. Lazenby
Keyword(s):  
Health Care ◽  
At Risk ◽  
Health Care Workers ◽  
Case History ◽  
Ethical Dilemmas ◽  
Critical Importance ◽  
Psychological Reactions ◽  
Ethical Problems ◽  
Care Workers ◽  
Grief Reactions

Congenital AIDS is on the rise and will pose multiple problems to society and to health care workers in particular, as more infants develop the disorder. Differentiation of AIDS from infantile grief reactions is of critical importance, as infants at risk for AIDS lose their mothers who have AIDS. Team approaches are optimal and should include psychiatric perspectives. Issues of diagnosis, maladaptive psychological reactions and ethical dilemmas are discussed and illustrated in a case history.

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