Medycyna pracy最新文献

{"title":"[Infection fatality rate (IFR) during the course of COVID-19 pandemic in Upper Silesia Metropolitan Area (Poland) in 2020].","authors":"Jan E Zejda,&nbsp;Małgorzata Kowalska,&nbsp;Grzegorz M Brożek,&nbsp;Kamil Barański,&nbsp;Angelina Kaleta-Pilarska","doi":"10.13075/mp.5893.01179","DOIUrl":"https://doi.org/10.13075/mp.5893.01179","url":null,"abstract":"<p><strong>Background: </strong>During the course of COVID-19 pandemic, a wide range of scientific projects was implemented worldwide, including studies focusing on infection fatality rate (IFR). The value of IFR depends on the number of COVID-19 deaths in a population in a given period and the number of infected people in this population, usually provided by seropepidemiological studies (anti-SARS-CoV-2 IgG in the case of COVID-19). The objective of our study was to estimate IFR in the course of COVID-19 pandemic in 2020, in the general population of Upper Silesia Metropolitan Area (USMA).</p><p><strong>Material and methods: </strong>The seroepidemiological study was conducted in October-November 2020. Among randomly selected inhabitants of Katowice, Gliwice, and Sosnowiec (N = 1167), the presence of SARS-CoV-2 virus infection was assessed based on a positive IgG test result performed with the ELISA method. Data on deaths due to COVID-19 were obtained from the Registry Offices of each city. The infection fatality rate was calculated using the formula IFR (%) = [number of deaths/number of infected] × 100.</p><p><strong>Results: </strong>Results of our study showed the prevalence of infection at 11.4% (95% CI: 9.5-13.2). In three examined towns, in the period January-November 2020, there was a total of 516 COVID-19 deaths. The resulting crude IFR was 0.65% (95% CI: 0.56-0.78). The IgG test had 88% sensitivity and 99% specificity and these figures were used to adjust IFR. The adjusted IFR value was similar to the crude value: IFR = 0.62% (95% CI: 0.53-0.74).</p><p><strong>Conclusions: </strong>The value of IFR estimated for the USMA population was similar to average values obtained in other countries and can be used as the background for monitoring the course and impact of COVID-19 pandemic in the Upper Silesian Industrial Area. Med Pr. 2021;72(6):671-6.</p>","PeriodicalId":18749,"journal":{"name":"Medycyna pracy","volume":"72 6","pages":"671-676"},"PeriodicalIF":1.0,"publicationDate":"2021-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39602738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Long lasting symptoms of dyspnea, cough and fatigue after COVID-19 - narrative review of epidemiological studies].","authors":"Ewa Marciniak,&nbsp;Anna Górniak,&nbsp;Wojciech Hanke","doi":"10.13075/mp.5893.01190","DOIUrl":"https://doi.org/10.13075/mp.5893.01190","url":null,"abstract":"<p><p>\"Long-COVID\" is described as long-term effects of SARS‑ CoV‑2 infection that last >4 weeks after the acutephase of infection. The aim of this narrative reviews to evaluate the frequency of occurrence of 3 symptoms often observed in Long-COVID, i.e., chronic fatigue, shortness of breath and cough, and whether comorbidities such as diabetes and arterial hypertension increase the risk of complications after a history of SARS‑ CoV‑2 infection. The method of narrative review was used in this paper. PubMed (May 31, 2021) search was performed to retrieve articles concerning the occurrence of long COVID-19 chronic fatigue, dyspnoea and chronic cough. Studies in which the observation period was <30 days and the average age of subjects exceeded 60 years, as well as studies with no information on the methodology used, in particular without the method of recruiting people for the study, were excluded. Populations with a high frequency of diabetes were defined as the prevalence >10%, and in the case of arterial hypertension >40%. The average frequency of diabetes <10%, hypertension 40%. It can be concluded that in the period of >30 days after discharge from the hospital, in populations with a high incidence of diabetes and hypertension, the incidence of chronic fatigue and cough was higher than in the other analyzed groups. Symptoms of dyspnea were most frequently reported in populations with high rates of diabetes, but at the same time in the average percentage of people with arterial hypertension. Persistent symptoms specific to \"Long-COVID\" can significantly reduce the ability to perform work. In this situation, check-ups performed before returning to work after long-term leave tape on a new dimension. Med Pr. 2021;72(6):711-20.</p>","PeriodicalId":18749,"journal":{"name":"Medycyna pracy","volume":"72 6","pages":"711-720"},"PeriodicalIF":1.0,"publicationDate":"2021-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39681826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Job insecurity and emotional disturbance of Polish employees during pandemic COVID-19.","authors":"Teresa Chirkowska-Smolak,&nbsp;Mykola Chumak","doi":"10.13075/mp.5893.01181","DOIUrl":"https://doi.org/10.13075/mp.5893.01181","url":null,"abstract":"<p><strong>Background: </strong>The pandemic, as an event that is new and dangerous to the health and life of the population, has put employees at risk of losing their job and experiencing deteriorating working and employment conditions. In this situation, authors were particularly concerned with the extent to which job insecurity (both quantitative and qualitative) contributed to the deterioration of workers' well-being.</p><p><strong>Material and methods: </strong>The study was carried out on 382 Polish employees in April and May 2020. The following research tools were used: the <i>Job Insecurity in Pandemic Scale</i> by Chirkowska-Smolak and Czumak and the <i>Depression</i>, <i>Anxiety</i>, <i>Stress Scale</i> (DASS-21) by Levibond and Levibond.</p><p><strong>Results: </strong>The quantitative and qualitative job insecurity were significant predictors of depression and stress, but they did not explain anxiety symptoms. The scope of the explained variance of these negative emotional states by concerns related to work and employment was not large (from 11% to 17.6%). The moderating role of perceived employability was confirmed only in the case of the relationship between qualitative job insecurity and depression, as well as quantitative job insecurity and stress. However, the increase in the explained variance was very small.</p><p><strong>Conclusions: </strong>Uncertainty related to the maintenance of employment and concerns about the deterioration of working conditions due to the COVID-19 pandemic had an impact on emotional disturbances of employees, but they only explained some of the variance of depression and stress and did not affect the perceived level of anxiety. The smaller role of economic stress in the emergence of negative emotional states could be associated with the occurrence of much more serious threats to the health and life of the population in this period. The very low level of unemployment in Poland, which remained at a similar level throughout the pandemic despite the catastrophic forecasts of economists, could also have played an important role. Med Pr. 2021;72(6):645-52.</p>","PeriodicalId":18749,"journal":{"name":"Medycyna pracy","volume":"72 6","pages":"645-652"},"PeriodicalIF":1.0,"publicationDate":"2021-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39697319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The spectrum of non-characteristic oral manifestations in COVID-19 - a scoping brief commentary.","authors":"Hanna Hüpsch-Marzec, Arkadiusz Dziedzic, Dariusz Skaba, Marta Tanasiewicz","doi":"10.13075/mp.5893.01135","DOIUrl":"10.13075/mp.5893.01135","url":null,"abstract":"<p><p>Virus-induced oral abnormalities, occurring especially in severe COVID-19 cases of hospitalized patients, have various characteristics and clinical features being, either directly or indirectly, related to SARS-CoV-2 infection. Deregulation of the immune system as a result of SARS-CoV-2 infection may lead to the impairment of the normal defense pathway in the SARS-CoV-2 positive patients. This scoping mini-review is aimed to critically appraise the existing evidence concerning the potential link between COVID-19 condition and abnormal manifestations within oral cavity, affecting oral mucosa, salivary glands and sensory elements. COVID-induced oral mucosa manifestations, with various clinical aspects, are likely to occur as coinfections and secondary symptoms, as immune system imbalance is <i>per se</i> a causative factor of secondary manifestations. Oral mucosal lesions related to SARS-CoV-2 infection do not seem to demonstrate gender predilection, with the average reported age around 50 years of age. They include mainly white and erythematous plaques, ulcers, blisters, petechiae. The affected intraoral areas were mainly: tongue, palate, lips, gingiva, and buccal mucosa. The \"aggressive\" therapies utilized to treat COVID-19, including drug interactions may aggravate or initiate OMLs pathologies. Neglected oral hygiene or partial or complete abandonment of oral hygiene during intensive hospitalization constitutes an independent factor promoting a wide range of oral pathologies. In addition, stress factor indirectly impairs functioning of the immune system. Oral mucosa lesions occurring in COVID-19 cases present with a wide variation of non-characteristic features. These intraoral, soft tissues abnormalities seem to be reversible and transient. A potential impact of severe oral pathologies to systemic health resulting from SARS-CoV-2 infection, along with associated poor oral hygiene should not be ignored, predominantly in seriously ill patients hospitalized in intensive care units. Med Pr. 2021;72(6):685-92.</p>","PeriodicalId":18749,"journal":{"name":"Medycyna pracy","volume":"72 6","pages":"685-692"},"PeriodicalIF":0.8,"publicationDate":"2021-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39476051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Differential impact of COVID-19 lockdown on physical activity in younger and older adolescents - prospective study.","authors":"Marijana Geets Kesic,&nbsp;Barbara Gilic,&nbsp;Ivana Cerkez Zovko,&nbsp;Patrik Drid,&nbsp;Darinka Korovljev,&nbsp;Damir Sekulic","doi":"10.13075/mp.5893.01180","DOIUrl":"https://doi.org/10.13075/mp.5893.01180","url":null,"abstract":"<p><strong>Background: </strong>Insufficient physical activity levels (PAL) during adolescence is a major public health concern, which is even more pronounced during the COVID-19 pandemic due to restricting movement opportunities. This study aimed to identify PAL changes and examine the age-specific determinants of PAL in younger and older adolescents during the COVID-19 lockdown.</p><p><strong>Material and methods: </strong>This study included 859 high-school students from Bosnia and Herzegovina stratified into 2 age groups: younger (N = 420, 14-16 years of age), and older adolescents (N = 439, 16-18 years of age). Participants were tested over 2 testing waves: before the COVID-19 lockdown (January 2020) and during the COVID-19 lockdown (April 2020). Variables included PAL assessed by the Physical Activity Questionnaire for Adolescents, sports factors, and parental factors.</p><p><strong>Results: </strong>The PAL significantly declined as a result of lockdown measures in the total sample (from 2.76±0.79 to 2.50±0.82). Larger absolute and relative decline of PAL was evidenced in younger adolescents. Sport participation positively influenced PAL before lockdown, with no significant influence during the lockdown. Older adolescents whose mothers were better educated were less likely to be in high risk group with regard to a large decline of PAL as a result of COVID lockdown (OR = 0.50, 95% CI: 0.21-0.84).</p><p><strong>Conclusions: </strong>Results of the study suggest that parental education influences health-related behaviors and that parental education is a protective factor against a decrease in PAL during the COVID-19 pandemic. Main educational agents (i.e., school and parents) should pay more attention to provide children and adolescents adequate information and develop their health literacy, which will hopefully positively impact children's PAL even in challenging situations similar to COVID-19 lockdown. Med Pr. 2021;72(6):633-43.</p>","PeriodicalId":18749,"journal":{"name":"Medycyna pracy","volume":"72 6","pages":"633-643"},"PeriodicalIF":1.0,"publicationDate":"2021-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39661450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Bundle care - prevention of pneumonia in patients mechanically ventilated in COVID-19 pandemia - a challenge for patients and personnel safety].","authors":"Anna Różańska,&nbsp;Michał Brudło,&nbsp;Estera Jachowicz,&nbsp;Jadwiga Wójkowska-Mach","doi":"10.13075/mp.5893.01182","DOIUrl":"https://doi.org/10.13075/mp.5893.01182","url":null,"abstract":"<p><p>Intensive care units are characterized by the high risk of infections in patients. Pneumonia is one of the most common forms of infection with a high risk of death. Hence, to improve patient safety, specific packages of procedures, the so-called \"bundle care,\" are recommended by experts in the field. The usage of selected protective procedures carries the risk of transmitting microbes from patients to staff, which in the case of pathogens such as SARS-CoV-2 can have serious health consequences for staff. Therefore, medical staff of intensive care units should strictly follow recommendation concerning healthcare workers safety and the rules of isolation, which in the current pandemic should be supplemented with specific elements. The paper presents an overview of the optimization of patient care and staff safety within the so-called \"bundle care\" in the COVID-19 pandemic. Med Pr. 2021;72(6):721-8.</p>","PeriodicalId":18749,"journal":{"name":"Medycyna pracy","volume":"72 6","pages":"721-728"},"PeriodicalIF":1.0,"publicationDate":"2021-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39620440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Potential therapeutic application of mesenchymal stem cells in COVID-19 complications.","authors":"Emanuel Kolanko,&nbsp;Adam Mazurski,&nbsp;Piotr Czekaj","doi":"10.13075/mp.5893.01207","DOIUrl":"https://doi.org/10.13075/mp.5893.01207","url":null,"abstract":"<p><p>Mesenchymal stem cells (MSCs) have remarkable immunomodulatory properties, low immunogenicity, and paracrine properties as well as the ability to differentiate into multiple cell lines. These properties make them potential candidates for clinical applications in the treatment of neurodegenerative, cardiovascular, and lung diseases, which may be occupational diseases. Preclinical studies using experimental animal models have demonstrated regenerative properties of MSCs in diseases such as silicosis and occupational asthma. Currently, treatment of the novel disease COVID-19 could be enhanced by using MSC therapies. This disease affects many professional groups with great intensity and its consequences might be considered as an occupational disease. It is a significant public health problem and a therapeutic challenge. Despite the development of vaccines against COVID-19, there is growing concern about the emergence of new mutations of the SARS-CoV-2 virus in addition to the known alpha, beta, gamma, and delta variants. There is still no effective COVID-19 treatment and the existing ones only play a supporting role. MSCs offer treatment possibilities as an alternative or complementary therapy. The clinical trials to date using MSCs in patients with COVID-19 give hope for the safe and effective use of this stem cell population. Med Pr. 2021;72(6):693-700.</p>","PeriodicalId":18749,"journal":{"name":"Medycyna pracy","volume":"72 6","pages":"693-700"},"PeriodicalIF":1.0,"publicationDate":"2021-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39937170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[COVID-19 immunizations in occupational medicine].","authors":"Ernest P Kuchar,&nbsp;Monika Karlikowska-Skwarnik","doi":"10.13075/mp.5893.01219","DOIUrl":"https://doi.org/10.13075/mp.5893.01219","url":null,"abstract":"<p><p>This article discusses issues related to exposure to SARS-CoV-2 in the work environment and employee's vaccination against COVID-19. The new SARS-CoV-2 coronavirus identified as the etiologic agent of COVID-19 prompted the World Health Organization (WHO) to declare a pandemic in March 2020. The droplet route transmits the virus. Therefore, health care workers in contact with sick people and anyone employed in direct contact with large numbers of people are particularly vulnerable to infection. The introduction of COVID-19 vaccination removes the need for quarantine, reduces the risk of disease, limits transmission within the workplace, and reduces sickness absence. The role of the occupational health services is to promote vaccination against COVID-19 by providing reliable information on the safety and efficacy of immunization and organizing and carrying out vaccination in workplaces. Med Pr. 2021;72(6):701-10.</p>","PeriodicalId":18749,"journal":{"name":"Medycyna pracy","volume":"72 6","pages":"701-710"},"PeriodicalIF":1.0,"publicationDate":"2021-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39558023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of interest in vaccination against COVID-19 and other pro-health initiatives at the workplace among employees in Poland.","authors":"Agata Olearczyk,&nbsp;Dominik Olejniczak","doi":"10.13075/mp.5893.01176","DOIUrl":"https://doi.org/10.13075/mp.5893.01176","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic re-raised the subject of vaccines and their importance for public health. Given the number of employees, one of the key environments in which vaccination should be promoted is the workplace.</p><p><strong>Material and methods: </strong>An original, anonymous and voluntary questionnaire with 13 questions regarding health behaviors of employees in Poland was distributed through HR departments of the companies invited to the research (Computer-Assisted Web Interview - CAWI technique) This publication presents the results of answers to the 3 chosen questions concerning: health issues related to work, interest in health promoting initiatives and following recommendations for physical activity.</p><p><strong>Results: </strong>According to the research presented in this article, 39% of employees in Poland were interested in vaccination against COVID-19. The most popular preventive initiatives are still healthy eating and sport activities. The government allowed organizing vaccinations at the workplace, which gives new opportunities but also obligations and risks. Overall, the potential of a workplace in fighting the coronavirus seems to be used to a very small extent. This carries the need to consult systemic solutions with representatives of employers and occupational medicine practitioners as well as the government.</p><p><strong>Conclusions: </strong>The workplace should be one of the key habitats for health promoting activities, including vaccinations. The above-mentioned issue should still be the subject of research for solutions tailored to the needs and capabilities of each group (employers, occupational medicine professionals and government). One of the circumstances of promoting the health of employees should be preventive examinations of employees - a doctor's visit and contact with an occupational medicine nurse. The potential of preventive employee examinations in this area seems to be unused and limited. The level of immunization of employees has an obvious impact on the state of the economy. In view of the voluntary vaccination against COVID-19, this requires educational campaigns aimed at both employees and employers. Med Pr. 2021;72(6):653-9.</p>","PeriodicalId":18749,"journal":{"name":"Medycyna pracy","volume":"72 6","pages":"653-659"},"PeriodicalIF":1.0,"publicationDate":"2021-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39588134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Revision of dentistry safety guidelines during COVID-19 pandemic].","authors":"Joanna Słowik,&nbsp;Agnieszka Garlicka,&nbsp;Karol Kasprzycki,&nbsp;Magdalena Orczykowska,&nbsp;Krzysztof Gębczyński,&nbsp;Cynthia L Wong,&nbsp;Joanna Zarzecka","doi":"10.13075/mp.5893.01055","DOIUrl":"https://doi.org/10.13075/mp.5893.01055","url":null,"abstract":"<p><p>The ongoing pandemic of coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has completely transformed the functioning of health care facilities. These changes have also significantly affected the work of dental health professionals. Due to the high infectivity of the virus and the fact that transmission occurs primarily through respiratory droplets, both dental patients and professionals are particularly exposed to coronavirus infection. In order to reduce the risk of COVID-19 transmission, a number of medical societies have issued recommendations for the provision of health care services during the pandemic. The article is based mainly on the recommendations of the Polish Ministry of Health, since WHO recommendations underline that following updated local guidelines is of highest importance. It is impossible to outline uniform guidelines for all dental specialists in the world, as the pandemic develops at differing rates in different countries and each country requires guidelines adapted to the current local epidemiological situation. The publication features an additional review of foreign literature and guidelines proposed by individual dental societies. The article presents an overview of guidelines related to the functioning of dental offices, dental treatment procedures and recommended personal protective equipment, as well as underlines the overriding principle that both physicians and dental practitioners should first and foremost take care of their own health in order to be able to protect others. Med Pr. 2021;72(5):561-8.</p>","PeriodicalId":18749,"journal":{"name":"Medycyna pracy","volume":"72 5","pages":"561-568"},"PeriodicalIF":1.0,"publicationDate":"2021-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39391657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}