Romanian Journal of Occupational Medicine最新文献_第2页

E-learning during the COVID-19 pandemic: the impact on medical students’ perceived academic progress COVID-19大流行期间的电子学习:对医学生学业进步感知的影响

Romanian Journal of Occupational Medicine Pub Date : 2021-10-26 DOI: 10.2478/rjom-2021-0005

Bogdan-Viorel Vîlceleanu, A. Balan, E. Jugănaru, Elena Merlușcă, A. Rascu, M. Oțelea

{"title":"E-learning during the COVID-19 pandemic: the impact on medical students’ perceived academic progress","authors":"Bogdan-Viorel Vîlceleanu, A. Balan, E. Jugănaru, Elena Merlușcă, A. Rascu, M. Oțelea","doi":"10.2478/rjom-2021-0005","DOIUrl":"https://doi.org/10.2478/rjom-2021-0005","url":null,"abstract":"Abstract The Covid-19 pandemic created one of the most stressful situations all around the world and affected almost all activity sectors, including medical education. Sudden restrictions on social interactions forced an abrupt transition from amphitheatres and physical examinations to online lectures and, despite difficulties, the academic community rallied to continue teaching. The swift transition left academia with no time to design custom platforms and confined the university to choose among a set of readily available tools: Google Classroom and Google Meet, Zoom and Moodle, which offer a basic framework for substituting the students’ needs. In some countries, ours included, most of the summer term took place online. Although pandemics are, hopefully, rare events, the experience with online classes should be used to improve and expand current teaching models, since this improvement could be a means to a general improvement of the medical teaching system. On the other hand, the COVID-19 pandemic is not finished yet and many restrictions continue, affecting at least 20% of the total undergraduate training of several generations of doctors. The study aims to identify – within the medical students’ community - transferable aspects of online classes to the post-pandemic teaching in the perspective of blended learning. We deliberately chose to omit the examination part of the educational process in order to set the focus on the delivery of teaching. In this first analysis of the results, the degree of progress in reaching a high professionalism level was analyzed starting from the self-assessment of professional growth, that was previously found to be in good agreement with the actual achievements as derived from the traditional formative examination. [1]","PeriodicalId":399083,"journal":{"name":"Romanian Journal of Occupational Medicine","volume":"91 11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127489680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

ORCHESTRA project in Romania - a prospective occupational cohort to study the impact of COVID-19 pandemic on healthcare workers 罗马尼亚ORCHESTRA项目——研究COVID-19大流行对医护人员影响的前瞻性职业队列

Romanian Journal of Occupational Medicine Pub Date : 2021-10-26 DOI: 10.2478/rjom-2021-0008

D. Mates, V. Calotă, C. Staicu, Lavinia Călugărenu, Mădălina Ipate, M. Margineanu, M. Oțelea, O. Persecă, F. Popescu, A. Rascu, S. Teodorescu, Georgeta Botin, A. Voinoiu, A. Neamțu

{"title":"ORCHESTRA project in Romania - a prospective occupational cohort to study the impact of COVID-19 pandemic on healthcare workers","authors":"D. Mates, V. Calotă, C. Staicu, Lavinia Călugărenu, Mădălina Ipate, M. Margineanu, M. Oțelea, O. Persecă, F. Popescu, A. Rascu, S. Teodorescu, Georgeta Botin, A. Voinoiu, A. Neamțu","doi":"10.2478/rjom-2021-0008","DOIUrl":"https://doi.org/10.2478/rjom-2021-0008","url":null,"abstract":"Abstract ORCHESTRA is a three-year international research project funded by the European Union’s Horizon 2020 research and innovation programme, led by the University of Verona and involving 26 partners (extending to a wider network of 37 partners) from 15 countries. Romania is partner in ORCHESTRA project and is represented by The National Institute of Public Health. The challenge for the Romanian team is to enroll a prospective cohort of more than 1 000 health care workers and to follow-up, for at least 12 months, the impact of the pandemic at three main levels: mental health, long term consequences of COVID-19 and variation of the immune response in vaccinated. Secondary objectives are: the variation of risk perception during the pandemic, the preventive measures at workplace and how these evolved during the pandemic, vaccination acceptance and reasons of refusal. This paper aims to present a brief overview of the study design in Romania and the cohort description at baseline.","PeriodicalId":399083,"journal":{"name":"Romanian Journal of Occupational Medicine","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131703684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Beneficial effect of hyperbaric oxygen therapy in solving a nosocomial COVID-19 infection. Case report and short literature review 高压氧治疗治疗院内感染的有益效果。病例报告及简短文献回顾

Romanian Journal of Occupational Medicine Pub Date : 2021-10-26 DOI: 10.2478/rjom-2021-0007

Cristina-Elena Micu, R. Smărăndescu, I. Arghir, Mihaela Trenchea, Bogdan-Alexandru Barbu, C. Handra

{"title":"Beneficial effect of hyperbaric oxygen therapy in solving a nosocomial COVID-19 infection. Case report and short literature review","authors":"Cristina-Elena Micu, R. Smărăndescu, I. Arghir, Mihaela Trenchea, Bogdan-Alexandru Barbu, C. Handra","doi":"10.2478/rjom-2021-0007","DOIUrl":"https://doi.org/10.2478/rjom-2021-0007","url":null,"abstract":"Abstract The infection with the new coronavirus SARS-CoV-2 was declared a global health emergency in early 2020 and, two months later, became recognized as a pandemic, affecting the world’s population regardless of age, ethnicity, geographical area. COVID-19 generally presents with altered general condition (fever, chills, marked fatigue, muscle aches, headache), respiratory manifestations from cough to dyspnea, acute respiratory distress, and multiorgan damage in critical forms. Manifestations can occur between 2 days and two weeks after exposure, the disease evolving from mildly symptomatic to moderate, severe, and even fatal forms. Our reported clinical case of COVID-19 is that of a 59-year-old nurse with diabetes and hypertension as risk factors. Accidental occupational exposure to SARS-CoV-2 infection occurred due to non-compliance with the existing dressing-undressing protective equipment protocols in facilities with treatment beds. We diagnosed a moderate-severe COVID-19, displaying bilateral lung damage and mild desaturation, complicated by bacterial superinfection with Klebsiella spp. The patient underwent antiviral, antibiotic, anticoagulant, cortisone treatment during hospitalization. In the first two months after discharge, we recommended seven hyperbaric therapy sessions to relieve respiratory symptoms and enhance regression of fibrotic lung lesions.","PeriodicalId":399083,"journal":{"name":"Romanian Journal of Occupational Medicine","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129885272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Epidemiological model of COVID-19 in healthcare workers: occupational vs. environmental disease COVID-19在医护人员中的流行病学模型:职业性与环境性疾病

Romanian Journal of Occupational Medicine Pub Date : 2021-10-26 DOI: 10.2478/rjom-2021-0001

Mihaela Stoia

{"title":"Epidemiological model of COVID-19 in healthcare workers: occupational vs. environmental disease","authors":"Mihaela Stoia","doi":"10.2478/rjom-2021-0001","DOIUrl":"https://doi.org/10.2478/rjom-2021-0001","url":null,"abstract":"Abstract This study aims to estimate the occupational etiology of COVID-19 in the healthcare sector and obtain a risk matrix for the burden of disease across occupations and specific activities. The study population included 4515 cases and 133077 controls. We have used an epidemiological model that included data collected over one year from employed persons with confirmed SARS-CoV-2 infection, age group 20-64, and residing in Sibiu County. We measured the incidence rate (IR), relative risk (RR), and risk of COVID-19 attributable to the occupational exposure (AR), respectively, statistical analysis based on frequency distribution and the portion of cases to compute the risk levels in social- and healthcare workers. According to this model, approximately 70.5% of COVID-19 risk could be attributable to occupational exposure. The workplace is a strong predictor of infection risk (RR 3.4), particularly in residential long-term care facilities, hospitals, and ambulance services. The highest-risk job functions are nurse, nursing assistant, ambulance worker, and dentist. In conclusion, we believe in having demonstrated that epidemiological modeling may be helpful for risk management and notification of COVID-19 as an occupational disease in frontline staff and essential healthcare personnel.","PeriodicalId":399083,"journal":{"name":"Romanian Journal of Occupational Medicine","volume":"122 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116195067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Contact dermato-allergology - review of the literature 接触皮肤过敏症-文献综述

Romanian Journal of Occupational Medicine Pub Date : 2021-10-26 DOI: 10.2478/rjom-2021-0002

F. Delcroix, S. Bădulici, J. Nicolas

引用次数: 0

COVID-19: the first pandemic of the 21th century. A review of the literature COVID-19: 21世纪的第一次大流行。文献综述

Romanian Journal of Occupational Medicine Pub Date : 2021-10-26 DOI: 10.2478/rjom-2021-0004

S. Bădulici

引用次数: 0

Different perspectives of doctors and nurses about the continuation of usage of some of the protection measures after the end of the COVID-19 pandemic 医生和护士对COVID-19大流行结束后继续使用某些保护措施的不同看法

Romanian Journal of Occupational Medicine Pub Date : 2021-10-26 DOI: 10.2478/rjom-2021-0006

M. Oțelea, D. Mates, A. Rascu

{"title":"Different perspectives of doctors and nurses about the continuation of usage of some of the protection measures after the end of the COVID-19 pandemic","authors":"M. Oțelea, D. Mates, A. Rascu","doi":"10.2478/rjom-2021-0006","DOIUrl":"https://doi.org/10.2478/rjom-2021-0006","url":null,"abstract":"Abstract The current pandemic pointed toward a revision of the protection measures against infectious diseases. For any given new pathogen against which human species showed no immunity, isolation and personal protection equipment proved to reduce disease transmission. In medical settings, when there is inevitable contact with infected patients, these preventive measures have undoubtedly change the process of care delivery. The study aims to investigate the opinion of the healthcare workers about the utilization of the personal protective equipment after the pandemic stops. For this purpose, we conducted an online survey about changes related to the COVID-19 pandemic. For the healthcare workers, the survey also included several questions related to personal protective equipment. A total of 512 responders, doctors, and nurses answered to the survey. We performed comparisons between these two categories of personnel using the χ test. Overall, the results show that doctors are keener to follow the recommendations for the personal protective equipment in the future; there was a statistically significant difference (p<0.001) for the usage of gloves and masks while examining febrile patients, and for the handwashing after the examination of each patient. The type of service (outpatient or inpatient procedures) and direct contact with a COVID-19 patient were other factors to modulate the responses regarding using personal protective equipment in the future. The fact that 14.06% of the responders did not consider it necessary to wash hands after examining each patient underlines the urgent need for safety education in all healthcare workers and nurses.","PeriodicalId":399083,"journal":{"name":"Romanian Journal of Occupational Medicine","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126925905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Successful management of a professional viola player with a complex playing related musculoskeletal disorder 成功治疗一名职业中提琴手的复杂的与演奏相关的肌肉骨骼疾病

Romanian Journal of Occupational Medicine Pub Date : 2021-10-26 DOI: 10.2478/rjom-2021-0009

F. Popescu, M. Vaida, Grant Mackay, C. Borza, E. Pauncu, D. Roman, C. Maliţa, I. Dragoi

{"title":"Successful management of a professional viola player with a complex playing related musculoskeletal disorder","authors":"F. Popescu, M. Vaida, Grant Mackay, C. Borza, E. Pauncu, D. Roman, C. Maliţa, I. Dragoi","doi":"10.2478/rjom-2021-0009","DOIUrl":"https://doi.org/10.2478/rjom-2021-0009","url":null,"abstract":"Abstract Objective: This paper presents the case of a 53-year-old female professional violist with chronic disabling neck and shoulder pain who had failed standard conservative management. A multimodal approach including Mulligan Concept manual therapy techniques resulted in a successful return to the workplace. Methods: Mobilization with Movements and Sustained Natural Apophyseal Glides as part of Mulligan Concept manual therapy approach, were the main treatment techniques utilized. Neuro-dynamic exercises, strengthening exercises, ergonomic interventions, alterations in playing load, and posture training were also implemented. Pain, range of motion and disability levels were monitored throughout treatment. Results: Significant improvements were seen in both neck and shoulder range of motion alongside considerable pain reduction in both regions. Clinically meaningful improvements were also noted in Neck Disability Index and Shoulder Pain and Disability Index scores. Discussion: Ergonomic intervention with postural correction and replacement with a lighter viola also contributed to patient recovery and return to the workplace. The Mulligan approach has proved to be effective in a wide variety of conditions. Still, it has not previously been considered in managing complex neck and upper limb disfunctions in string players. Conclusion: This paper highlights how an intensive manual therapy program had better results compared with standard conservative management. Multimodal intervention with occupational, ergonomic, and physiotherapy approaches was effective, leading to progressive re-integration into the workplace. Mulligan Concept manual therapy techniques should be considered in the management of playing related musculoskeletal disorders.","PeriodicalId":399083,"journal":{"name":"Romanian Journal of Occupational Medicine","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125865347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The questionnaire as a tool for collecting information in support of medical researchers 调查表作为收集信息以支持医学研究人员的工具

Romanian Journal of Occupational Medicine Pub Date : 2021-10-26 DOI: 10.2478/rjom-2021-0003

Mădălina Ipate, B. Draghici, M. Margineanu

{"title":"The questionnaire as a tool for collecting information in support of medical researchers","authors":"Mădălina Ipate, B. Draghici, M. Margineanu","doi":"10.2478/rjom-2021-0003","DOIUrl":"https://doi.org/10.2478/rjom-2021-0003","url":null,"abstract":"Abstract In medical and epidemiological research, multi-item questionnaires are often used to assess changes in the health of a particular group of subjects over a certain period. They can target a selected population sample based on specific exposure characteristics or target the whole population. Also, they can constitute an objective tool to help health professionals improve the quality of life and guide patients to the most appropriate care suitable [1,2]. Trying to complete an entirely new questionnaire or translating an existing questionnaire from another language can be difficult. The biggest challenge is making a questionnaire that is effective for use in research and clinical conditions. This article tries to guide for adapting validated and translated questionnaires to apply them to various population categories. We want to support readers less familiar with the process of developing and adapting validated questionnaires. Although using an existing questionnaire will save time and resources, a questionnaire that includes all items of interest to the researcher may not be available, or the current questionnaire may not be translated into the language required for respondents. If no already validated questionnaires are available or suitable, it is necessary to design a new questionnaire. For this, there are several steps to follow that one must take into account.","PeriodicalId":399083,"journal":{"name":"Romanian Journal of Occupational Medicine","volume":"108 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127966951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The diagnosis of occupational asthma confirmed by serial peak expiratory flow rate monitoring 职业性哮喘的诊断经连续呼气峰流速监测证实

Romanian Journal of Occupational Medicine Pub Date : 2020-08-27 DOI: 10.2478/rjom-2020-0003

A. Rascu, E. Naghi, C. Handra, I. Arghir, D. Mates, L. Moise, M. Oțelea

引用次数: 0