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1st International Conference on Multidisciplinary Engineering and Applied Science, ICMEAS 2021 ; 2021.
Article in English | Scopus | ID: covidwho-1774658


Despite the implementation of strict COVID-19 guideline, over 300,000 healthcare workers has been infected with COVID-19 globally with over 7,000 deaths. This risk of infection and loss of vital healthcare workers can be eliminated by deploying a deep learning enhanced teleoperated robot. The robot for this study was developed by Worchester Polytechnic Institute, US, to be deployed for COVID-19 at the Nigerian National Hospital Abuja. In this paper, we develop a deep learning-based automatic classification of lung ultrasound images for rapid, efficient and accurate diagnosis of patients for the developed teleoperated robot. Two lightweight models (SqueezeNet and MobileNetV2) were trained on COVID-US benchmark dataset with a computational-and memory-efficient mixed-precision training. The models achieve 99.74% (± 1) accuracy, 99.39% (± 1) recall and 99.58% (± 2) precision rate. We believe that a timely deployment of this model on the teleoperated robot will remove the risk of infection of healthcare workers. © 2021 IEEE.

Trabajo y Derecho ; (82)2021.
Article in Spanish | Scopus | ID: covidwho-1766489


The exceptional situation generated by the coronavirus pandemic has led the legal system being overcome, overflowing the regulatory framework and proving in these situations the importance of guaranteeing effective and adequate protection both as citizens and workers. The need to provide a public service in order to guarantee the protection of the health of workers, generates situations in which a fine line is maintained between what should be considered as public health and what corresponds to occupational health. It's necessary to review this framework, taking into account either the present or situations that may arise in the future. This article takes a tour of different issues that affect public health and occupational health, and the application of these criteria to the workplace. © 2021 Wolters Kluwer (UK) Ltd.. All rights reserved.

4th International Conference on Bio-Engineering for Smart Technologies, BioSMART 2021 ; 2021.
Article in English | Scopus | ID: covidwho-1730904


COVID-19 pandemic erupted in December 2019, spreading extremely fast and stretching the healthcare infras-tructure of most countries beyond their capacities. This impacted the healthcare workers (HCW) adversely because 1) they were pressured to work almost round the clock without a break;2) they were in close contact with the COVID-19 patients and hence, were at high risk;and 3) they suffered from the fear of spreading COVID to their families. Hence, many HCWs were stressed and burnout. It is known that stress directly affects the heart and can lead to serious cardiovascular problems. Currently, stress is measured subjectively via self-declared questionnaires. Objective markers of stress are required to ascertain the quantitative impact of stress on the heart. Thus, this paper aims to detect stress contributing factors in HCWs and determine the changes in the ECG of stressed HCWs. We collected data from multiple hospitals in Northern India and developed a deep learning model, namely X-ECGNet, to detect stress. We also tried to add interpretability to the model using the recent method of SHAP analysis. Deployment of such models can help the government and hospital administrations timely detect stress in HCWs and make informed decisions to save systems from collapse during such calamities. © 2021 IEEE.

2021 IEEE International Conference on Bioinformatics and Biomedicine, BIBM 2021 ; : 2992-2997, 2021.
Article in English | Scopus | ID: covidwho-1722862


In the current COVID-19 pandemic scenario, healthcare workers, in particular nurses, face prolonged exposure to stress. This intense duress takes a toll on their health overtime, affects their quality of life, and in turn impacts the quality of care provided to the patients. Hence, real-time detection and monitoring of stress is extremely important for early detection of stress patterns, prevention of burnouts and chronic conditions in healthcare workers as well as facilitate improved patient-care outcomes. In this paper, we present a proof-of-concept case study using machine learning (ML) and artificial intelligence (AI)-based stress detection model that determines a personalized assessment of stress level using heart rate, heart rate variability, and physical activity of the users. We used wearable electrocardiogram and inertial sensor to record heart activity and physical activity of nurses during their shifts. Our preliminary results indicate that the proposed stress tracking model can effectively predict any stress occurrences. This study is a pivotal attempt to emphasize the significance of stress-detection and relief for healthcare workers and provide them a tool for an effective assessment of personalized stress levels. © 2021 IEEE.

2nd International Conference of Construction, Infrastructure, and Materials, ICCIM 2021 ; 216:489-496, 2022.
Article in English | Scopus | ID: covidwho-1718612


Indonesia is one from many countries that is struck by the COVID-19 virus pandemic. Indonesia still needs to recover from economy crisis caused by the pandemic. Indonesia’s evolvement can be seen from their development in their infrastructure during the COVID-19 pandemic. The Occupational Safety and Health (OHS) Management System is a crucial part of the contractor organization’s management system that is used to implement and develop OHS policies in all of the existing development project. In this research study, it will discuss about the application of OHS management systems in high-rise building projects during the COVID-19 pandemic. The result from the analysis and calculation in this research are compared with the Minister of Public Works Regulation No. 9/2008 regarding the Management System and Work Safety and the Instruction of the Minister of PUPR No. 2/IN/M/2020 concerning about the Protocol to Prevent the Spread of Corona Virus Disease 2019 (COVID-19) in the implementation of construction services. In its implementation, the OHS Management System is divided into 3 important parts, namely the Implementation and Operation of OHS Activities, OHS Evaluation/Inspection and OHS Management Review. The implementation of OHS Management System during the COVID-19 pandemic in high-rise building was obtained 77.09% (Good Enough). © 2022, The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.

2021 International Conference on Data Analytics for Business and Industry, ICDABI 2021 ; : 240-244, 2021.
Article in English | Scopus | ID: covidwho-1709278


The usage of new technology has drastically altered the way, work is handled and performed out in recent times. Building Information Modelling (BIM) is increasingly being used in infrastructure projects to boost the effectiveness of a variety of tasks. The purpose of this study is to extract previous knowledge regarding BIM and occupational safety in infrastructure projects. Papers published in the period going from 2008 to 2019 were selected a total number of 50 studies were selected. All studies were targeting BIM, safety adoption, and accidents related to construction infrastructure projects. This paper helps to identify the critical success factors for safety efficiency application in the infrastructure project. New type of policies related to Covid-19 are also incorporated in the construction industry which also set new standards and operating procedures to work safely in the pandemic conditions. Two main group factors were identified safety training, and safety management a networking analysis between all the factors identified from previous studies was run. This networking shows a link of importance between each other and how each cluster overlaps the sub-factors of other clusters. Finally using word cloud analysis, it was possible to identify the top five keywords from the extracted factors. © 2021 IEEE.

2021 IEEE International Conference on Consumer Electronics-Asia, ICCE-Asia 2021 ; 2021.
Article in English | Scopus | ID: covidwho-1672713


The responsibility of transporting COVID-19 patients usually falls on the Emergency Medical Service (EMS) department in a hospital. This responsibility exposes EMS workers to high coronavirus infection risks, and we cannot bear the cost of the collapse of EMS. In this paper we explore the feasibility of utilizing autonomous vehicles for patient transportation for reducing the risks of care workers. © 2021 IEEE.

J Emerg Med ; 62(3): 337-341, 2022 03.
Article in English | MEDLINE | ID: covidwho-1665166


BACKGROUND: At least 115,000 health and care workers (HCWs) are estimated to have lost their lives to COVID-19, according to the the chief of the World Health Organization (WHO). Personal protective equipment (PPE) is the first line of defense for HCWs against infectious diseases. At the height of the pandemic, PPE supplies became scarce, necessitating reuse, which increased the occupational COVID-19 risks to HCWs. Currently, there are few robust studies addressing PPE reuse and practice variability, leaving HCWs vulnerable to accidental contamination and harm. OBJECTIVE: The objective of this study was to assess potential HCW contamination during PPE donning, doffing, and reuse. METHODS: The study included 28 active acute care physicians, nurses, and nurse practitioners that evaluated 5 simulated patients with COVID-like symptoms while donning and doffing PPE between each patient encounter. An N95 mask was contaminated with a transparent fluorescent gel applied to the outside of the N95 mask to simulate contamination that might occur during reuse. Participants were evaluated after PPE doffing for each encounter using a black light to assess for face and body contamination. RESULTS: All participants had multiple sites of contamination, predominantly on their head and neck. None of the participants were able to don and doff PPE without contaminating themselves during five consecutive simulation cycles. CONCLUSIONS: The current Centers for Disease Control and Prevention PPE guidelines for donning and doffing fall short in protecting HCWs. They do not adequately protect HCWs from contamination. There is an urgent need for PPE and workflow redesign.

COVID-19 , Personal Protective Equipment , COVID-19/prevention & control , Fluorescence , Health Personnel , Humans , Pandemics/prevention & control
7th International Conference on Research and Innovation in Information Systems, ICRIIS 2021 ; 2021.
Article in English | Scopus | ID: covidwho-1642538


The Occupational Safety and Health Management System (OSHMS) is a collection of interconnected or interacting elements that work together to define and implement Occupational Safety and Health (OSH) policies and objectives. Employers must guarantee that this system is effectively implemented to safeguard employees from hazards in order to attain those goals and eliminating work-related injuries, illnesses, diseases, incidents and deaths by using the guideline given by the International Labor Organization (ILO) as well as the Department of Safety and Health (DOSH) of Malaysia. Auditing is among the vital process in analyzing the performance of OSHMS. The audit process is part of the evaluation element, as described by ILO where the auditor needs to evaluate the OSH performance. However, due to the Covid-19 pandemic situation, the traditional audit could not be conducted, thus the remote audit is considered to be a viable option to ensure the audit process continues. Therefore, this paper intends to understand how the OSHMS especially in the university context can be remotely audited using Mixed Reality (MR) applications through a review of the literature. The findings indicate appropriate contexts of discussion for the study and also identified MR technology namely the 360-degree panoramic view technology that could be further studiedThe paper's contribution is a better knowledge of the OSHMS remote audit process through the usage of MR applications in a specialized setting. The findings of this study would be beneficial to the stakeholders in the relevant context particularly in the university in their investment decision-making for a future-ready ecosystem by digitising their enterprises. © 2021 IEEE.

Ciencia Juridica ; 10(20):6-17, 2021.
Article in Spanish | Web of Science | ID: covidwho-1614343


This paper analyzes the position ofguarantor of the employer -employer against the risks inherent in the work activities assigned to their dependent workers, based an the concept of "allowed risk" in the dangerous production process and the duty to ensure that the regulations occupational risk prevention assigns the employer, as "organizer" of the focus of danger. This general scheme requires a specific analysis against the risk of contagion of CO VID- 19 (as "occupational risIC). As a corollary of this study, certain details are presented here regarding the possible criminal liability of the employer in the face of this new viral risk, for which many characteristics are still unknown.

Salute e Societa ; 20:170-183, 2021.
Article in Italian | Scopus | ID: covidwho-1613540


Italy was among the most severely hit European country by COVID-19 pandemic and, just as in other countries, healthcare workers emerged as a group at increased risk of becoming infected with the virus. In fact, according to INAIL almost 70% of all reported occupational injuries is concentrated in the health and social care sector. Nevertheless, to date in Italy - to our knowledge - no research has focused on the possible factors that have jeopardized the protection of this category of workers. Our paper aims to analyze - through currently available data - the impact of different Regional Health Care Systems' interventions and policies on HCW's risk of SARS-CoV-2 infection with respect to specific indicators regarding the different responses to Covid-19 adopted by SSR with the aim of preventing the spread of the virus and treating people infected with COVID-19. © FrancoAngeli

9th International Conference on Technological Ecosystems for Enhancing Multiculturality, TEEM 2021 ; : 406-410, 2021.
Article in English | Scopus | ID: covidwho-1613093


This paper addresses a new learning methodological approach compatible with e-learning and m-learning for undergraduate engineering students to learn the ventilation requirements for the prevention of SARS-CoV-2 virus infection in the workplace and to develop the critical sense to design ventilation systems in accordance with the standards that minimize the biological risk. Thus, a learning activity based on a simulation of infection risks is proposed in which three different initial ventilation requirements hypotheses were considered to calculate the necessary ventilation in the workplace. Subsequently, a simulation was carried out to obtain the probability of contagion in each of them and, in this way, to obtain information to make adequate decisions and improve critical thinking in the context of industrial hygiene. © 2021 ACM.

Texto & contexto enferm ; 30: e20210097, 2021. tab
Article in English | WHO COVID, LILACS (Americas) | ID: covidwho-1599695


ABSTRACT Objective: to translate and transculturally adapt the Risk assessment and management of exposure of health care workers in the context of COVID-19 questionnaire. Method: this is a methodological study. The translation, back-translation, synthesis, evaluation by experts committee and pre-test stages were followed. The participants were invited by electronic means and answered an online questionnaire. The data were collected between June and September 2020. Content validation by the experts committee was verified using the Content Validity Index. The pre-test participants assessed the instrument's applicability by means of the "Assessment of Instruments' Feasibility" questionnaire. Results: the study participants were four translators, eight evaluators in the experts committee and 35 professionals who answered the pre-test. The changes suggested by the experts committee were accepted and consensus was reached in two evaluation rounds, obtaining a content validity index higher than 0.80 for all items of the instrument. The pre-test version presented good applicability and satisfactory reliability (0.76). Conclusion: the instrument was adapted for use in Brazil, which will allow international comparison of the results and using the data obtained for assessment and decision-making in relation to workers' health. In addition to that, its use may be expanded to assess other situations of health professionals' exposure to the risk of contamination by infectious agents.

RESUMEN Objetivo: realizar la traducción y adaptación transcultural del instrumento Risk assessment and management of exposure of healthcare workers in the context of COVID-19. Método: estudio metodológico en el que se desarrollaron las siguientes etapas: traducción, retrotraducción, síntesis, evaluación a cargo de un comité de expertos y prueba previa (pre-test). Se invitó a los participantes a través de medios electrónicos para que respondieran un formulario en línea. Los datos se recolectaron entre junio y septiembre de 2020. La validación del contenido a cargo del comité de expertos se verificó por medio del Índice de Validez del Contenido. Los participantes de la prueba previa evaluaron la aplicabilidad del instrumento por medio del cuestionario "Evaluación de la Viabilidad de Instrumentos". Resultados: los participantes del estudio fueron cuatro traductores, ocho evaluadores en el comité de expertos y 35 profesionales que respondieron la prueba previa. Las modificaciones sugeridas por el comité de expertos fueron acatadas y se llegó a un consenso en dos evaluaciones, obteniéndose un Índice de Validez del Contenido superior a 0,80 para todos los ítems del instrumento. La versión de la prueba previa presentó buena aplicabilidad y confiabilidad satisfactoria (0,76). Conclusión: el instrumento fue adaptado para su uso en Brasil, lo que permitirá realizar una comparación internacional de los resultados y emplear los datos obtenidos con fines de evaluación y toma de decisiones en relación con la salud de los trabajadores. Además, se podrá expandir su utilización para evaluar otras situaciones de exposición de profesionales de la salud al riesgo de contaminación a raíz de agentes infecciosos.

RESUMO Objetivo: realizar a tradução e a adaptação transcultural do Risk assessment and management of exposure of healthcare workers in the context of COVID-19. Método: trata-se de estudo metodológico. Foram seguidas as etapas de tradução, retrotradução, síntese, avaliação por comitê de juízes e pré-teste. Os participantes foram convidados por meio eletrônico e responderam um formulário on-line. Os dados foram coletados entre junho e setembro de 2020. A validação de conteúdo pelo comitê de juízes foi verificada por meio do índice de validade de conteúdo. Os participantes do pré-teste avaliaram a aplicabilidade do instrumento por meio do questionário "Avaliação da Praticabilidade de Instrumentos". Resultados: participaram do estudo quatro tradutores, oito avaliadores no comitê de juízes e 35 profissionais responderam ao pré-teste. As modificações sugeridas pelo comitê de juízes foram acatadas e o consenso atingido em duas avaliações, obtendo índice de validade de conteúdo superior a 0,80 para todos os itens do instrumento. A versão pré-teste apresentou boa aplicabilidade e confiabilidade satisfatória (0,76). Conclusão: o instrumento foi adaptado para uso no Brasil, o que permitirá a comparação internacional dos resultados e o uso dos dados obtidos para a avaliação e tomada de decisão em relação à saúde do trabalhador. Além disso, seu uso poderá ser ampliado para avaliar outras situações de exposição de profissionais de saúde ao risco de contaminação por agentes infecciosos.

Humans , Risk Management , Occupational Risks , Occupational Health , Validation Study , Personal Protective Equipment
Texto & contexto enferm ; 30: e20210160, 2021. tab, graf
Article in English | WHO COVID, LILACS (Americas) | ID: covidwho-1511864


ABSTRACT Objective: to know the factors that exert an influence on the health professionals' perception of the risk of becoming contaminated with COVID-19 in Brazil. Methods: a survey conducted from May to October 2020 with 436 active health professionals working in the front line against COVID-19. Descriptive analyses were used and a structural equation model from an exploratory factor analysis was estimated. Results: the health professionals' perception on contracting COVID-19 was considered as medium to very high for 72% of the respondents. In the structural equation model, knowledge of the treatment for COVID-19, preparation of the health professionals to work, and safety in the institutional protocol together with confidence in official protocols and disclosures through social, printed and television media exerted an influence on confidence to face the pandemic (P<0.05). This self-confidence along with the male gender were significant determinants (P<0.001) for the perception of the possibility of becoming contaminated. Conclusion: this study may contribute to the realization of strategies, public policies and guidelines that may impact on improving self-confidence and protecting the health professionals in their performance during the COVID-19 pandemic.

RESUMEN Objetivo: conocer los factores que influencian la percepción del riesgo de infección por COVID-19 de los profesionales de salud en Brasil. Métodos: estudio del tipo survey realizado entre mayo y octubre de 2020 con 436 profesionales de salud que trabajan en la primera línea de combate contra el COVID-19. Se utilizaron análisis descriptivos y se estimó un modelo de ecuaciones estructurales a partir de un análisis factorial exploratorio. Resultados: la percepción de los profesionales de salud con respecto a contraer COVID-19 se consideró entre media y muy alta en el 72% de los encuestados. En el modelo de ecuaciones estructurales, el conocimiento sobre el tratamiento del COVID-19, la preparación de los profesionales de salud para trabajar, y la confianza en el protocolo institucional, en conjunto con la confianza en protocolos oficiales y diversas informaciones divulgadas a través de medios sociales, impresos y televisivos influenciaron la autoconfianza para enfrentar la pandemia (P<0,05). Dicha autoconfianza, junto con el sexo masculino, fueron determinantes significativos (P<0,001) para la percepción de la posibilidad de contagio. Conclusión: este estudio podrá contribuir para que se lleven adelante estrategias, políticas públicas y directrices que repercutan sobre la mejora de la autoconfianza y sobre la protección de los profesionales de salud frente a su desempeño en la pandemia de COVID-19.

RESUMO Objetivo: conhecer os fatores que influenciam a percepção do risco dos profissionais de saúde para se contaminarem com Covid-19 no Brasil. Métodos: survey realizado de maio a outubro de 2020 com 436 profissionais de saúde atuantes na linha de frente da Covid-19. Utilizaram-se análises descritivas e foi estimado um modelo de equações estruturais a partir de uma análise fatorial exploratória. Resultados: a percepção dos profissionais de saúde para contrair Covid-19 foi considerada média a muito elevada para 72% dos respondentes. No modelo de equações estruturais, o conhecimento do tratamento da Covid-19, preparo dos profissionais de saúde para atuação e a segurança no protocolo institucional em conjunto à confiança em protocolos oficiais e informações divulgadas por mídias sociais, impressa e televisiva influenciaram a autoconfiança para o enfrentamento da pandemia (P<0,05). Essa autoconfiança juntamente com o sexo masculino foram determinantes significativos (P<0,001) para a percepção da possibilidade da vir a se contaminar. Conclusão: este estudo poderá contribuir para a realização de estratégias, políticas públicas e diretrizes que impactem na melhoria da autoconfiança e na proteção dos profissionais de saúde frente a sua atuação na pandemia da Covid-19.

Humans , Adult , Middle Aged , Occupational Risks , Occupational Health , Coronavirus Infections , Pandemics , Personal Protective Equipment
Rev Bras Med Trab ; 19(2): 209-213, 2021.
Article in English | MEDLINE | ID: covidwho-1281058


OBJECTIVES: To describe the prevalence of testing among health workers providing care for suspected and confirmed cases of COVID-19. METHODS: This quantitative, cross-sectional study was conducted from April to June 2020, using a convenience sample. An online questionnaire was used for collecting sociodemographic, occupational, and clinical data, which were analyzed descriptively. RESULTS: In total, 437 health workers participated in the study, with a predominance of nursing workers (58.68%), women (70.3%), age between 30 and 49 years (54.2%), individuals living in the Southeast region of Brazil (60.54%), working in the public care system (69.11%), and focused on primary care (30.89%). Among the participants, 36% reported comorbidities, 21.1% had symptoms suggestive of COVID-19, and only 27% had undergone some type of COVID-19 testing. CONCLUSIONS: Despite the existence of risk comorbidities and symptoms suggestive of contamination, the frequency of testing was below one third among respondents. The lack of action compromises health surveillance and protection strategies for workers providing care for the population and may favor the contamination of new patients and the community.

Travel Med Infect Dis ; 40: 101973, 2021.
Article in English | MEDLINE | ID: covidwho-1065626


Aircrew fitness-to-fly is among the elements that make aviation the safest form of long-distance transport. The health of cabin crew is a crucial determinant in carrying out safety-related duties. 'Fitness-to-fly' is associated with defined workplace conditions, for which airlines have a legal duty to ensure fitness for employment. We explored the literature on fitness-to-fly to obtain a pragmatic assessment of the challenges for aeromedical examinations. Regulations promulgated by aviation regulatory authorities and airline-internal policies have similar status and meaning, yet there is no harmonised approach internationally, and an inability to conform periodic medical assessments to actual operational fitness. The COVID-19 pandemic has highlighted the need to better understand fitness-to-fly criteria. Fitness-to-fly measures are mainly based on self-reported data and there is a need for a 'safety' factor for self-reports. Aeromedical evaluations should evolve from meeting medical standards to include pandemics as an element of the overall risk of aircraft operations. Re-evaluating criteria for fitness-to-fly assessment will further the goal of linking research to the actual needs of public health decisionmakers. If airlines are to resume operations at pre-pandemic levels, they must demonstrate to the public and public health agencies that fitness-to-fly assessment is appropriate and effective.

Aircraft/standards , Aviation/standards , COVID-19/epidemiology , Workplace/standards , COVID-19/prevention & control , COVID-19/transmission , COVID-19 Testing , Health Knowledge, Attitudes, Practice , Health Workforce , Humans , Occupational Health/standards , Pandemics/prevention & control , Policy , SARS-CoV-2/isolation & purification , Self Report
Int J Environ Res Public Health ; 18(1)2020 12 23.
Article in English | MEDLINE | ID: covidwho-1006973


The special situation brought about by the coronavirus pandemic and the confinement imposed by the Government, has given rise to numerous changes in working habits. The workers at the universities have had to start a period of teleworking that could give rise to consequences for the musculoskeletal system. The objective of this article is to analyze the impact of the confinement on the musculoskeletal health of the staff of two Spanish universities. A cross-sectional, observational study was carried out on the workers. Data was taken in April-May 2020 and included: The Standardized Kuorinka Modified Nordic Questionnaire, the Perceived Stress Scale and another one on sociodemographic data. This study comprised 472 people. The areas of pain noted during the confinement period concluded that it was less in all cases (p < 0.001). The frequency of physical activity carried out increased significantly during the period of confinement (p < 0.04), especially in women. The type of physical activity done was also seen to modify during this period (p < 0.001), with a preference for strength training and stretching exercises. In conclusion, the confinement gave rise to changes in the lifestyle and in the musculoskeletal pain of the workers at the universities. All of this must be taken into account by health institutions and those responsible for the Prevention of Occupational Risks at Spanish universities.

COVID-19/epidemiology , Musculoskeletal Pain , Teleworking , Adult , Cross-Sectional Studies , Exercise , Female , Humans , Life Style , Male , Middle Aged , Muscle Stretching Exercises , Musculoskeletal Pain/epidemiology , Musculoskeletal Pain/etiology , Resistance Training , Spain/epidemiology , Universities
Rev. enferm. UERJ ; 28: 49596, jan.-dez. 2020.
Article in English, Portuguese | WHO COVID, LILACS (Americas) | ID: covidwho-825243


Objetivo: descrever as principais recomendações sobre ações de prevenção de contágio relacionadas à exposição ocupacional dos profissionais de saúde atuantes frente à COVID-19, disponíveis até março de 2020. Conteúdo: A atual pandemia da doença causada pelo novo coronavírus SARS-CoV-2 tem transmissão favorecida pelo contato próximo e desprotegido com secreções ou excreções de pacientes infectados, principalmente por meio de gotículas salivares. Práticas organizacionais de prevenção devem ser previstas antes da chegada do paciente ao serviço de saúde, reduzindo o fluxo de atendimento, no primeiro atendimento e durante as ações assistenciais, para minimizar a exposição ocupacional ao agente biológico. Profissionais de saúde classificados como grupo de risco devem ser afastados de atividades de risco de contaminação. Aqueles contaminados ou adoecidos devem permanecer em quarentena para minimizar a propagação da COVID-19. Considerações finais: os cuidados para prevenção de contaminação de trabalhadores nesta pandemia pelo novo coronavírus devem ser priorizados, evitando impactos negativos na assistência à população que busca atendimento nos serviços de saúde.

Objective: to describe the main recommended actions on prevention actions related to occupational exposure of health professionals working at COVID-19, available until March 2020. Content: The current pandemic disease caused by the new SARS-CoV-2 coronavirus has its transmission favored by close and unprotected contact with secretions or excretions from infected patients, mainly through salivary droplets. Organizational prevention practices should be prioritized, since patient's arrival at the health service, optimizing the flow of care, the first care and during health care actions, to minimize occupational exposure to the biological agent. Health professionals classified as a risk group should be removed from activities at risk of contamination. Those contaminated or adulterated must remain in quarantine to minimize the spread of COVID-19. Final considerations: care to avoid contamination of workers in this pandemic by the new coronavirus must be prioritized, prevented from affecting the assistance to the population that seeks assistance in health services.

Objetivo: describir las principales acciones recomendadas sobre acciones de prevención relacionadas con la exposición ocupacional de los profesionales de la salud que trabajan en COVID-19, disponible hasta marzo de 2020. Contenido: La enfermedad pandémica actual causada por el nuevo coronavirus SARS-CoV-2 tiene su transmisión favorecida por contacto cercano y sin protección con secreciones o excreciones de pacientes infectados, principalmente a través de gotas salivales. Se deben priorizar las prácticas de prevención organizacional, desde la llegada del paciente al servicio de salud, optimizando el flujo de atención, la primera atención y durante las acciones de atención de salud, para minimizar la exposición ocupacional al agente biológico. Los profesionales de la salud clasificados como grupo de riesgo deben ser retirados de las actividades en riesgo de contaminación. Las personas contaminadas o adulteradas deben permanecer en cuarentena para minimizar la propagación de COVID-19. Consideraciones finales: se debe priorizar la atención para evitar la contaminación de los trabajadores en esta pandemia por el nuevo coronavirus, evitando que afecte la asistencia a la población que busca asistencia en los servicios de salud.

Humans , Pneumonia, Viral , Occupational Risks , Risk Factors , Occupational Health , Health Personnel , Coronavirus Infections , Pandemics , Health Workforce , Nurse Practitioners , Working Conditions , Nursing , Betacoronavirus
Clin Simul Nurs ; 47: 65-72, 2020 Oct.
Article in English | MEDLINE | ID: covidwho-739805


BACKGROUND: More recently, due to the coronavirus disease 2019 pandemic, health care workers have to deal with clinical situations wearing personal protective equipment (PPE); however, there is a question of whether everybody will tolerate PPE equally. The main objective of this study was to develop a risk model to predict whether health care workers will tolerate wearing PPE, C category, 4B/5B/6B type, during a 30-minute simulation. METHODS: A nonexperimental simulation study was conducted at the Advanced Simulation Center, Faculty of Medicine, Valladolid University (Spain) from April 3rd to 28th, 2017. Health care students and professionals were equipped with PPE and performed a 30-minute simulation. Anthropometric, physiological, and analytical variables and anxiety levels were measured before and after simulation. A scoring model was constructed. RESULTS: Ninety-six volunteers participated in the study. Half the sample presented metabolic fatigue in the 20 minutes after finishing the simulation. The predictive model included female sex, height, muscle and bone mass, and moderate level of physical activity. The validity of the main model using all the variables presented an area under the curve of 0.86 (95% confidence interval: 0.786-0.935), and the validity of the model had an area under the curve of 0.725 (95% confidence interval: 0.559-0.89). CONCLUSIONS: Decision-making in biohazard incidents is a challenge for emergency team leaders. Knowledge of health care workers' physiological tolerance of PPE could improve their performance.