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The proceedings contain 78 papers. The topics discussed include: work disability, indirect costs and risk factors in patients with Crohn's disease in a Rio De Janeiro tertiary care center;proton pump inhibitors are associated with less severe periodontal disease: considerations for IBD patients;impact of COVID-19 pandemic in treatment adherence in inflammatory bowel disease patients;impact of COVID-19 in a cohort of patients with inflammatory intestinal disease;utilization of biologic therapy in patients with microscopic colitis not responding to standard therapy;restrictive eating symptoms may persist in children adolescents with treated IBD: case series;power calculations in randomized controlled trials of inflammatory bowel disease;measuring patient-reported outcomes in Crohn's disease patients during the outbreak of COVID-19;Tofacitinib and ileal pouch anal anastomosis. a single-center case series;corticosteroids, aminosalicylates and gastrointestinal symptoms are associated with the need of hospitalization in patients with inflammatory bowel diseases and COVID-19;and manometric study and the role of the perianal disease and the clinical activity in anorectal dysfunction in Crohn's disease.
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Introduction: Low back pain continues to be one of the main symptoms in personnel carrying out loads, but this was not widely investigated in the context of COVID-19. Objective: To determine the socio-occupational factors associated with low back pain in technicians and nurses of critical medical services who treated COVID-19 patients. Material and Methodos: Cross-sectional analytical study. Through a virtual survey, information was collected from the nursing staff of the general ICU, COVID-19 ICU and Traumatology services of a Social Security hospital in Lima-Peru. The main variable was low back pain, this was crossed with other variables of interest through descriptive and analytical statistics. Results: Of the 265 responses, 62% (165) reported having low back pain. In the multivariate model, it was found that there was a greater suffering from low back pain according to having more years of work (RPa: 1,03;CI: 95%: 1,01-1,06;p-value=0,008) and if they had previously had a work disability (RPa: 1.45;95% CI: 1.25-1.68;p-value=<0.001), on the other hand, the older the respondents, the less low back pain (RPa: 0.97;CI95%: 0.95-0.99;p value=0.0013), adjusted for five variables. Discussion: The majority of respondents had low back pain, being associated with more years of work, having previously had a work disability and age. This situation may be repeating itself in similar populations, so occupational health services should carry out evaluations and interventions to improve this reality.
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Background/Aims Psychological distress is prevalent in people with inflammatory arthritis. In populations with axial spondyloarthritis (SpA), the risk of developing mental ill-health is high - for depression more than twice that of control populations. Positive emotions are protective against psychological distress and emotional wellbeing is favourably associated with physical illness prognosis. However, the emotional experiences of people who live with axial SpA are not well understood. This study aimed to explore and synthesise qualitative data about the emotional experience of living with axial SpA and identify barriers and facilitators to emotional wellbeing. Methods First, a systematic review and thematic synthesis was conducted. Nine databases were searched from inception to December 2019. Qualitative and mixed methods studies were included if they reported qualitative participant level data about the lived emotional experiences of people with axial SpA and were published in English or German. The search was updated in March 2021. Study quality was assessed using a modified version of the CASP (Critical Appraisal Skills Programme) qualitative tool. Grey literature was appraised using the Authority, Accuracy, Coverage, Objectivity, Date, Significance (AACODS) checklist. Data were extracted, coded and categorised. Synthesis involved translation of concepts from one study into another and development of descriptive themes. Second, four axial SpA online forums were searched from inception to June 2020 for posts from UK-based individuals with axial SpA containing data about their emotional experiences of axial SpA. Thematic analysis was undertaken. Results Of 10,824 database records screened, 27 studies, published between 1995 and 2020, went forward for synthesis. Study populations included people diagnosed with Ankylosing Spondylitis (n=1143), axial SpA (n=53) and non-radiographic axial SpA (n=18). Two studies with mixed populations (n=37) did not specify numbers diagnosed with axial SpA. Most participants were male and had established disease. No studies specifically focused on the psychological experiences of living with axial SpA. 537 posts were identified from online fora, 278 (52%) of which were from men. Seven descriptive themes were generated from the qualitative synthesis: delayed diagnosis: a barrier to emotional wellbeing;disruptive symptoms: a source of mood swings;work disability: a loss of self-esteem;obstacles in interpersonal relationships: a trigger of distress;taking up exercise: 'personal pride' or 'unwelcomed reminders';anti-TNF therapy: hope reignited despite concerns;journey of acceptance: worry mixed with hope. The findings from our review of online fora supported and validated these themes. One additional theme - COVID-19: uncertainty and anxiety during the pandemic - was developed from constructs identified from online posts. Conclusion Our findings highlight substantial negative and mixed emotions experienced by people with axial SpA. However, data about the emotional experiences of women, people diagnosed with non-radiographic axial SpA, and those in the early stages of diagnosis, are limited.
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Introduction: Work-related musculoskeletal disorders (MSDs) are a group of disorders confined basicly to muscles, tendons, ligaments, nerves, joints, and bones and occur in relation to occupational activities. These disorders are reported to be common in health professionals and affect their quality of life. Carpal tunnel syndrome, tendinitis, degenerative spine disease, thoracic outlet syndrome, and strained neck syndrome are common in health workers. These problems often arise due to nonneutral postures, unsuitable instruments, nonergonomic working conditions. In addition, repetitive challenging activities are common risk factors. Medical students: MSDs can begin in medical students at even educational stage, especially during laboratory studies. Researches showed that the most common sites of problems are;lower back, neck, and upper back. Lower back, neck, and upper back prevented daily activities in the majority of cases. Strategies are suggested to address ergonomic and postural training, as part of university curriculums, including the identification of problems for early intervention to facilitate sustainable workforces. Health professionals: Work-related MSDs were found to be relatively highly prevalent among health care and hospital workers in general and nurses in particular. Both disorders were reported to be largely workrelated and stress-related. Moreover, they were found to be a result of both psychological stress and physical strain from work. Surgeons: Compared with disease estimates in the general population, surgeons have a higher prevalence of MSDs. Surgeons, hospital administrations, surgical material designers, and health insurance schemes have a role to play in taking action to protect surgeons from this potential burden and occupational health hazard. Dentistry: Professional practice and dental training have many risk factors, and the dental team should be able to recognize these factors to protect themselves. The most common sites for MSDs are neck, lower back, and shoulders. Women show a higher frequency of intense pain involving the cervical, lumbar, dorsal, and wrist areas placing them at a higher risk of injury. Nurses: Because of the specificity of their work tasks and the long duration of tasks in health institutions, nurses are quite vulnerable to various occupational risk factors. In addition to the physical risk factors connected to the work tasks, there are also individual risk factors, related to each individual's susceptibility and organizational/psychosocial risk factors (although these occupational risk factors are often addressed separately), whose control is critical. During the pandemic: Physicians and nurses can be considered to have MSDs because of: (1) the difficulties they experience, especially while using Personal Protective Equipment for Covid-19 in Intensive Care Unit/Settings. (2) the difficulties they experience by having to spend a long time at the computer to provide telemedicine services to the patients they monitor. Long and intensive studies leading up to these periods may have also caused MSDs. Conclusion: Areas of action can be ergonomic equipment, training, and consulting for workplaces at home and ergonomic risk assessments. In cases where protection is not provided and early treatment is not performed, they can cause temporary or permanent work disability.