Personal Protective Equipment Usage Research Articles

Crashworthiness capability comparison of a 3D Greek cross fractal structure additively manufactured with polyamide and thermoplastic polyurethane

Crashworthiness capability comparison of a 3D Greek cross fractal structure additively manufactured with polyamide and thermoplastic polyurethane

Factors Affecting Nurses’ Use of Personal Protective Equipment During the COVID-19 Pandemic: A Cross-Sectional Study

Background: A critical preventive measure during the rapid global spread of COVID-19 was the use of personal protective equipment (PPE) by healthcare professionals, especially nurses. Objectives: This study aimed to examine the factors that influenced nurses' use of PPE during the COVID-19 pandemic. Methods: An analytical cross-sectional study was conducted in 2021 and 2022. A convenience sample of 423 nurses was selected from those working in teaching hospitals affiliated with Tehran University of Medical Sciences. Data were collected using a researcher-developed questionnaire and analyzed with SPSS software version 26. Descriptive statistical tests, such as frequency, percentage, mean, and standard deviation, were used to analyze the data. Additionally, inferential tests such as the independent sample t-test and one-way analysis of variance (ANOVA) were employed. The significance level was set at P < 0.05. Results: Females constituted 70.20% of the sample. The means and standard deviations for individual and organizational factors were 3.41 ± 0.65 and 3.64 ± 0.83, respectively. The relationships between gender and individual factors, as well as education and organizational factors, were found to be statistically significant. There was also a statistically significant relationship between departments and both individual and organizational factors, and between marital status and organizational factors (P < 0.05). Conclusions: Organizational factors, including the provision of adequate PPE, were the most significant contributors to nurses' use of PPE. Conversely, the non-use of PPE was partly influenced by physical complications, such as skin issues, associated with PPE usage. Managers and policymakers can use the results of this study as a guide for future policy and decision-making to reduce or eliminate the factors inhibiting and to strengthen the factors contributing to the proper use of PPE.

Self-reported exposure to dust and diesel exhaust, respiratory symptoms, and use of respiratory protective equipment among Arctic miners

ABSTRACT Arctic miners face significant risks from diesel exhaust and dust exposure, potentially leading to adverse respiratory health. Employers must limit harmful exposures, using personal protective equipment (PPE) as a last line of defense. This study explored the association between reported respiratory exposure and symptoms, and PPE training and usage. Data from the MineHealth study (2012–2014) included a total of 453 Arctic open pit miners in Norway, Sweden, and Finland. Participants answered questions on exposure to dust and diesel exhaust, respiratory symptoms, and PPE use, in addition to age, gender, BMI, smoking, and self-rated health. Estimated exposure to dust was common, reported by 91%, 80%, and 82% and that of diesel exhaust by 84%, 43%, and 47% of workers in Sweden, Finland, and Norway, respectively. Reported dust exposure was significantly related to respiratory symptoms (OR 2.2, 95% CI 1.3–3.7), diesel exposure increased the occurrence of wheezing (OR 2.6, 95% CI 1.3–5.4). PPE use varied between the studied mines. Non-use was common and related to reduced visibility, wetness, skin irritation and fogging of the respiratory PPE. Future research should employ more precise exposure assessment, respiratory function as well as explore the reasons behind the non-compliance of PPE use.

Guarding Our Guardians: Navigating Adverse Reactions in Healthcare Workers Amid Personal Protective Equipment (PPE) Usage During COVID-19.

The widespread utilization of personal protective equipment (PPE) during the COVID-19 pandemic has been crucial for reducing transmission risk among healthcare workers (HCWs) and the public. However, the extensive use of PPEhas brought about potential adverse reactions, particularly among HCWs. This study aims to investigate the prevalence and characteristics of adverse skin reactions associated with PPE use among different categories of HCWs, including faculty, residents, and nursing officers (NOs), in a dedicated tertiary care COVID-19 hospital. The study design was a hospital-based cross-sectional analytical study conducted over one month, involving a total of 240 participants. The participants were required to complete a pre-tested semi-structured questionnaire that covered demographic information, PPE-related data, preventive measures, observed reactions, and self-management strategies. Results indicated that adverse skin reactions were common among HCWs, with reactions reported by all participants. The most commonly used PPE included N95 masks, goggles, gloves, face shields, isolation gowns, and medical protective clothing. Excessive sweating (60% residents, 21.1% NOs, and 16.25% faculties), facial rash, dry palms (>70% of HCWs), and itching were among the most prevalent adverse reactions. Urticarial lesions (28.5% among NOs), pressure marks and pain (100% on the cheek among all HCWs), fungal infections (18.5% among residents at the web space of fingers), and skin breakdown were also reported. Factors such as age, gender, pre-existing skin problems, and oily/acne-prone skin history were found to be significantly associated with adverse skin reactions. In conclusion, the findings highlight the common adverse reactions reported by HCWs during the use of different PPEs. Certain steps taken by HCWs for the prevention of adverse reactions due to PPE emphasize the importance of tailored preventive measures and strategies to mitigate these adverse reactions, such as proper PPE selection, well-fitting equipment, regular breaks, and appropriate skincare practices. These insights contribute to the development of guidelines for optimal PPE usage and support the well-being of HCWs in their essential roles.

Analysis of the Dominant Factors Associated with the Incidence of Covid-19 in Prehospital and Intra-Hospital Nurses

Nurses are the main lead in tackling the Covid-19 pandemic as if they are risking contracted by Covid-19. High stress during a pandemic has an impact on psychological problems, Personal Protective Equipment (PPE) usage, decision-making difficulty on triage, and fatigue in which those can decrease the immune systems. The aim of study was to identify the dominant factors related to the incidence of Covid-19 in nurses. This observational study used Cross Sectional Study design and consecutive sampling techniques at 136 respondents. Questionnaires was used as instruments tested by validity and reliability to measure Fatigue, Psychological Problems (Depression, Anxiety, Stress), Decision-Making Ability of Triage-EWS Screening Covid-19, Vaccination history, risks of exposure, PPE usage and Covid-19 Incidents. Dominant factor analysis was assessed using multivariate analysis by logistic regression test. Based on the results of the logistic regression test, it was found that the risk of exposure to Covid-19 was the dominant factor with the incidence of Covid-19 among nurses in the pre-intra-hospital settings with significance of the test results p value <0.0. Handling of Covid-19 incidents in health workers is crucial. It has been clear that the risk of exposure to people who are confirmed positive can increase the incidence of Covid-19, so it necessary to make prevention program by implementing physical distancing and increasing activities that impact on increasing of immunity.

Needle Stick Injury Among Healthcare Workers in a Tertiary Care Setting in Dehradun, Sub-Himalayan Region: A Four-Year Record-Based Study.

Needlestick injuries (NSIs) represent a significant occupational health risk in healthcare settings. These injuries, caused by contaminated sharps such as needles, vials, and scalpel blades, can lead to percutaneous exposure to infectious materials. Despite the severity of NSIs, they often go unreported, highlighting a critical gap in occupational safety protocols. This study aimed to investigate the occurrence of NSIs among healthcare workers (HCWs) by sex, profession, and working areas. It also sought to explore the underlying reasons for these injuries and the factors contributing to their underreporting. Adhering to the RECORD guidelines (Reporting of studies Conducted using Observational Routinely Collected Data), this record-based study involved a retrospective analysis of reported NSIs. Data were collected from voluntary reports by HCWs who experienced NSIs or exposure to potentially infectious materials such as blood and body fluids. Statistical analysis was conducted using IBM SPSS Statistics for Windows, Version 16 (Released 2007; IBM Corp., Armonk, New York) and Microsoft Excel 2010 (Microsoft Corporation, Redmond, Washington). Data from 142 participants indicated a higher proportion of females experiencing NSIs compared to males, with rates of 57.7% pre-COVID and 60.6% during COVID. There were notable shifts in NSI rates across professions, with increases observed among staff nurses and ward attendants/helpers. Analysis of injury circumstances revealed a decrease in sampling procedure-related injuries but an increase during intravenous procedures and biomedical waste segregation. Injuries occurring on the right-hand index finger decreased from 52.1% pre-COVID to 31% during COVID, while those on the left-hand index finger increased from 19.7% pre-COVID to 39.4% during COVID. Statistically significant associations were found between the injury site and the place of occurrence (p=0.021). Healthcare professionals commonly cleansed the site with disinfectants and used personal protective equipment (PPE) kits, with increased PPE usage noted during the COVID-19 pandemic. These findings emphasize the evolving dynamics of NSIs among HCWs and underscore the importance of tailored preventive measures during pandemics.

Deep Learning for Detection of Proper Utilization and Adequacy of Personal Protective Equipment in Manufacturing Teaching Laboratories

Occupational sectors are perennially challenged by the potential for workplace accidents, particularly in roles involving tools and machinery. A notable cause of such accidents is the inadequate use of Personal Protective Equipment (PPE), essential in preventing injuries and illnesses. This risk is not confined to workplaces alone but extends to educational settings with practical activities, like manufacturing teaching laboratories in universities. Current methods for monitoring and ensuring proper PPE usage especially in the laboratories are limited, lacking in real-time and accurate detection capabilities. This study addresses this gap by developing a visual-based, deep learning system specifically tailored for assessing PPE usage in manufacturing teaching laboratories. The method of choice for object detection in this study is You Only Look Once (YOLO) algorithms, encompassing YOLOv4, YOLOv5, and YOLOv6. YOLO processes images in a single pass through its architecture, in which its efficiency allows for real-time detection. The novel contribution of this study lies in its computer vision models, adept at not only detecting compliance but also assessing adequacy of PPE usage. The result indicates that the proposed computer vision models achieve high accuracy for detection of PPE usage compliance and adequacy with a mAP value of 0.757 and an F1-score of 0.744, obtained with the YOLOv5 model. The implementation of a deep learning system for PPE compliance in manufacturing teaching laboratories could markedly improve safety, preventing accidents and injuries through real-time compliance monitoring. Its effectiveness and adaptability could set a precedent for safety protocols in various educational settings, fostering a wider culture of safety and compliance.

Poor personal protective equipment practices were associated with heat-related symptoms among Asian healthcare workers: a large-scale multi-national questionnaire survey

BackgroundIt is pertinent to understand the perceptions of healthcare workers (HCWs) with their associated personal protective equipment (PPE) usage and heat strain symptoms experienced to effectively combat the negative effects of heat stress during treatment and care activities.MethodsWe evaluated the associated heat stress perceived by HCWs across Asia and validated a questionnaire on perceptions of heat stress, associated PPE usage, and heat strain symptoms experienced. The questionnaire was administered to 3,082 HCWs in six Asian regions. Factor analyses, including Cronbach’s alpha, assessed the questionnaire’s validity and reliability. Structural equation modelling analysed the effects of knowledge, attitudes and practices, and heat strain symptoms.ResultsThe questionnaire was found to be reliable in assessing HCWs’ knowledge, and attitudes and practices towards heat stress and PPE usage (both Cronbach’s alpha = 0.9), but not heat strain symptoms (Cronbach’s alpha = 0.6). Despite knowledge of heat stress, HCWs had negative attitudes and practices regarding PPE usage (β1 = 0.6, p < 0.001). Knowledge (path coefficient = 0.2, p < 0.001), and negative attitudes and practices (path coefficient = 0.2, p < 0.001) of HCWs towards heat stress and PPE usage adversely affected symptoms experienced.ConclusionsThe questionnaire was not reliable in assessing symptoms. HCWs should, nevertheless, still self-assess their symptoms for early detection of heat strain. To effectively attenuate heat strain, understanding HCWs’ attitudes and practices towards PPE usage should guide policymakers in implementing targeted heat management strategies.

Risk Factors for Occupational Blood Exposure, Compliance with Policies of Infection Prevention and Control, and Costs Associated with Post Exposure Management Among Nursing Staff.

To examine the risk factors linked with occupational blood exposure (OBE) among nursing staff (NS), we pinpoint deficiencies in the compliance with policies of infection prevention and control, and assess the expenditures associated with infection prevention and control. Healthcare workers that completed an "Occupational Blood Exposure Report Form" were divided into NS (observation) group and non-NS (control) group. Univariate and multivariable analyses were conducted to compare both groups in various aspects. We also explored design patents intended to minimize occupational exposure. The highest incidence of OBE was observed in the department of neurosurgery. Among NS, OBE incidence was found to be influenced by independent risk factors, such as gender, age, occupational title, work location, and incidence of sharps injuries. Protective factors against OBEs included the use of arterial blood gas needles and suture needles. Personal protective equipment (PPE) usage rates were low in both groups prior to OBEs (0.74% vs 0.00%, P > 0.05). Correct emergency management could be improved promptly by both groups following an OBE (P > 0.05). However, the observation group exhibited a higher proportion of blood expression after a sharps injury and a higher re-evaluation rate at 6 months post-exposure compared to the control group (P < 0.05). In 2018, the per capita costs of infection prevention and control for NS were the Chinese Yuan (RMB) 339.43 per individual. In response to these findings, two utility model patents have been authorized. The risk and protective factors related to the occurrence of OBEs were investigated in this study, suggesting that there is a need for improvement in the rate of PPE usage and the re-evaluation rate of OBEs among NS. Additionally, focused training on emergency blood expression and compliance with policies among non-NS personnel is deemed necessary.

Surgical team member's application of personal protective equipment: an observational study.

Personal protective equipment (PPE) is a term used to refer to clothing or equipment that creates a barrier to protect an individual from work-place hazards, thereby protecting the worker against work-related injuries and illnesses. This study was aimed at determining the compliance of application of personal protective equipment against the standards. One hundred surgical personnel were included in this study from 21 March 2023 to 23 April 2023. Data were collected through direct observation. The standards were directly changed into question forms with two integral checking components, "Yes", and "No". Data were entered and analyzed by statistical package of social sciences (SPSS) version 25. A total of 100 surgical personnel involved in surgical procedures were assessed for how they applied PPE. Majority of healthcare workers, 61.2%, were compliant with the communicable disease control standard on the application of PPE. The highest compliance rate was observed for the put-on gloves over the gown, while the lowest compliance rate was observed for wearing eye protection. The practice of PPE usage by surgical personnel was suboptimal. Healthcare facilities can better protect their staff and patients from the spread of infections and other hazards through PPE use protocols. Donning and doffing must always be methodical and supervised by another staff member, especially during surgical emergencies. PPE should be used in accordance with infection prevention and control guidelines and the level of risk involved in the specific procedure.

Morbidity profile, hepatitis B vaccination and personal protective equipment usage among sweepers of a medical institute in central India: A cross-sectional study

IntroductionHealth care workers are exposed to a variety of occupational risks making them susceptible to infections, besides being at risk of non-communicable diseases. The objectives of this study were to assess the morbidity pattern and associated factors among sweepers working at a tertiary care centre in Central India. MethodsA hospital-based cross-sectional study was conducted from September 2016 to September 2018 among 253 sweepers, who were administered a self-reported questionnaire. Information was collected related to demographic profile, use of personal protective equipment (PPE), vaccination status; and screening for co-morbidities was done using clinical examination and blood tests. ResultsMean duration of employment was 11.9 (±13.0) years. A total of 117 (46.2%) of the 253 sweepers reported one or more chronic conditions and 197 (77.9%) reported one or more systemic problems, most commonly musculoskeletal (113, 44.7%), cardio-vascular (68, 26.9%), ocular (44, 17.4%), dental (36, 14.2%), respiratory (28, 11.1%) and gastrointestinal disorders (16, 6.3%). Total 5s8 (22.9%) participants reported single and 80 (31.6%) reported multiple needlestick injuries, while only 77 (30.4%) had completed hepatitis-B vaccination schedule. Multivariable adjusted analysis revealed that age (Odds Ratio OR: 1.03, 95% CI: 1.00–1.06), male gender (OR: 3.11, 95% CI: 1.65–5.88) and waist hip ratio (OR: 433.19, 95% CI: 5.12–36622.87) were significant predictors of chronic conditions, while female gender, shorter length of service and knowledge about PPE were significant predictors of PPE usage. ConclusionsMost of the sweepers had at least one morbidity, highlighting the importance of periodic health check-ups, training, and awareness programmes. Provision of appropriate PPE and immunization with HBV is also recommended.

Work Accidents Analysis in Lathe Workshop - JSA with FMEA Approach

This study investigates the risk levels and potential for work accidents in manufacturing processes involving heavy equipment like lathes, which often lead to accidents due to non-compliance with safety regulations. Employing job safety analysis (JSA), the research aims to minimize accidents by assessing risk levels and proposing comprehensive Personal Protective Equipment (PPE) usage for workers. Results reveal that the welding process's failure mode severity is rated at 2, while lathe-related accidents, particularly exposure to debris, have the highest occurrence and effect analysis at 6. Limited PPE availability contributes to a low failure mode detection and effect analysis score of 7. This study underscores the critical need for implementing stringent safety measures to mitigate workplace accidents in manufacturing settings. Highlights : Comprehensive assessment: Utilizing job safety analysis (JSA), the study provides a detailed evaluation of potential work accidents in manufacturing processes, focusing on heavy equipment usage. Risk mitigation: The research emphasizes the importance of implementing stringent safety measures, including the complete utilization of Personal Protective Equipment (PPE), to minimize the occurrence of workplace accidents. Importance of compliance: Non-compliance with safety regulations, particularly regarding the use of PPE and adherence to K3 regulations, significantly increases the risk of work accidents, leading to disruptions in production processes. Keywords: Workplace Safety, Manufacturing, Job Safety Analysis, Personal Protective Equipment, Risk Assessment

Object Detection for Safety Attire Using YOLO (You Only Look Once)

Personal protective equipment (PPE) usage is mandated for all employees to prevent workplace accidents and foster a safe and healthy work environment. Using YOLOv8 machine learning and Google Colab's web-based development environment, this research aims to create an immediate detection system for PPE violations in the workplace. By keeping track of PPE compliance, the system is intended to increase workplace safety and prevent accidents. The dataset is collected through a mixture of real-life image gathering and internet datasets. Various images are collected that aim to train the model to detect objects from afar, close, and individually. The research methodology includes a review of the literature, the gathering, pre-processing, and training of models. According to the use of safety helmets, safety shoes, and gloves, there are three different classes of detection based on the bounding box. The system successfully detected the classes with an overall score above 0.8. The safety helmet achieved 0.969, the safety gloves achieved 0.857, followed by the safety vest with 0.887. The findings from this study indicate that the developed system can effectively improve occupational safety and health management. However, there is a detection error factor caused by the lighting and colors. Future research can focus on integrating the system with other work safety systems to provide a comprehensive solution for accident prevention.

ANALYSIS OF FACTORS INHIBITING THE IMPLEMENTATION OF SMK3 IN THE WIDENING PROJECT OF KAPAS – GLENDENG BRIDGE, BOJONEGORO REGENCY

In construction projects, inadequate implementation of the Occupational Safety and Health Management System (OHSMS) poses risks to the safety and well-being of workers, resulting in decreased performance and compromised project quality. This study focuses on the Kapas-Glendeng bridge widening project in Bojonegoro Regency, identifying key obstacles such as workforce competence, limited experience, insufficient training, and challenges accessing digital information. Additionally, issues related to worker involvement in regulation-making, understanding of Personal Protective Equipment (PPE), reporting procedures, and documentation of work accidents were observed. To address these challenges, the study recommends strategies such as involving untrained workers in competence-building programs, providing apprenticeships for less experienced personnel, implementing comprehensive training information systems, actively engaging workers in project planning, enforcing OHS monitoring systems, ensuring mandatory PPE usage with penalties for violations, and establishing clear procedures for recording and reporting work accidents. This proactive approach aims to enhance OHS implementation and mitigate risks in construction projects.

Occupational Injuries and Health Status Among Rural Tribal Non-Traditional Fishing Communities in the Coastal Region of Tamil Nadu, India

ABSTRACT Objectives This study evaluated the occupational injuries and health hazards associated with fishing as an occupation among non-traditional rural tribal fishing communities in the coastal region of Tamil Nadu, India. Methods This cross-sectional study included a total of 170 individuals belonging to a fishing community, comprising both male (n = 82) and female (n = 88) participants. The demographic details including occupational history, lifestyle characteristics, socio-economic status, personal habits, and health status were assessed through the questionnaire survey. Results The fishing community has a low socioeconomic status and poor literacy, lifestyle, and personal habits. The mean age of the participants was 38.8 yrs (male 34.8; female 39.9 yrs). Only 10% reported usage of personal protective equipment (PPE), and the work duration varied from 8 to 24 hrs in a day. While male subjects reported smoking habits (12%) and alcohol consumption (23%), none of the females reported alcohol consumption and smoking habits. The major occupational injuries that occurred were due to catfish (72%) and oysters (48%). A large number of female subjects reported musculoskeletal pains. The body mass index of about 28% of fishermen was above the normal range. Abnormal blood sugar, blood pressure, and respiratory and neurological symptoms were the other major health complaints. The major environmental hazards reported were salinity, solar radiation, tides, and high wind. Conclusion Injuries from handling fish and oysters were observed to be the major occupational burden. Additonally, a high prevalence of musculoskeletal pain and chronic health illness was commonly observed among the fishers. Adequate training and awareness programs are required for effective management of occupational health hazards and health promotion.

Determining the nurses' perception regarding the effectiveness of COVID-19 protocols implemented in Eastern Province: Saudi Arabia.

The global impact of Coronavirus Disease 2019 (COVID-19) has been profound, affecting public health, the global economy, and overall human life. Past experiences with global pandemics underscored the significance of understanding the perception of HCWs and hospital staff in developing and implementing preventive measures. The World Health Organization (WHO) provided protocols to manage the spread of COVID-19 and assist healthcare workers and health systems globally in maintaining high-quality health services. This study aims to assess nurses' perception, awareness, and compliance regarding the implementation of COVID-19 protocols and explore factors influencing their perception. A quantitative cross-sectional survey-based study was conducted, distributing a constructed survey among nurses in the Eastern Province of Saudi Arabia. Out of 141 participants, most adhered to protocols such as hand sanitization, social distancing, and proper personal protective equipment (PPE) usage. The predominant age group among respondents was 31 to 40 years (n = 71, 50%). A significant portion of participants reported holding a bachelor's degree (n = 86, 61%), with only 14% possessing advanced degrees (n = 19). Nearly a third of the nurses in the study had accumulated 6 to 10 years of professional experience (n = 49, 34.8%). A noteworthy percentage of nurses were engaged in daily shifts exceeding 8 h (n = 98, 70%). Gender differences were observed, with females exhibiting a higher tendency to avoid shaking hands and social gatherings. Saudi nationals were more inclined to shake hands and engage in gatherings. Non-Saudi nurses and those aged between <25 to 40 years demonstrated proper donning/doffing practices. Nurses with over 6 years of experience avoided social gatherings, while those working >8 h adhered better to PPE usage, proper donning/doffing, and disposal of PPE in designated bins. Understanding COVID-19 protocols is crucial for tailoring interventions and ensuring effective compliance with COVID-19 preventive measures among nurses. More efforts should be made toward preparing the healthcare nursing to deal with the outbreak. Preparing healthcare nursing with the right knowledge, attitude, and precautionary practices during the COVID-19 outbreak is very essential to patient and public safety.

Perceptions and Experiences Regarding Personal Protective Equipment Usage and Menstrual Health and Hygiene among Female Healthcare Workers during COVID-19: A Cross-sectional Study at a Tertiary Care Hospital, Maharashtra, India

Introduction: Female Healthcare Workers (FHCWs) played a crucial role during the Coronavirus Diseases-2019 (COVID-19) pandemic, diligently donning Personal Protective Equipment (PPE) to deliver essential care to patients. While PPE effectively shielded FHCWs from infections, it simultaneously imposed limitations on their ability to perform fundamental human activities, including using restrooms and managing menstruation. During menstruation, the restricted access to sanitary pads, combined with the challenges of working in PPE, heightened vulnerability among FHCWs, resulting in discomfort, distress, and a decline in work efficiency. Aim: To assess the perceptions, experiences, and challenges of FHCWs regarding PPE usage while providing healthcare services during the COVID-19 pandemic. Additionally, it aimed to explore the challenges experienced in managing Menstrual Health and Hygiene (MHH) during the COVID-19. Materials and Methods: A cross-sectional study was conducted in the western region of India at a tertiary care hospital of the medical college of Symbiosis International (Deemed to be University) in Pune, Maharashtra, India from September 2020 to November 2020. A total of 300 FHCWs who were assigned COVID-19 duties and utilised PPE were included. Data was collected through a semistructured proforma, covering topics on PPE usage, challenges encountered, personal experiences, and the management of menstruation. The collected data underwent analysis using Statistical Package for Social Sciences (SPSS) software version 21.0, with a primary emphasis on descriptive statistics. Results: A total of 194 (64.7%) perceived that PPE imparted protection, and 267 (89.1%) believed that work efficiency was compromised. Challenges reported by FHCWs while working in PPE included sweating, difficulty in making eye contact, triggers of headaches, nausea, and earaches. A total of 161 (53.9%) reported experiencing a menstrual cycle while on duty with COVID-19 patients, out of which 40 (24.8%) experienced irregular periods, 23 (14.2%) experienced premenstrual stress, and 98 (60.8%) suffered from dysmenorrhoea during menstruation. Additionally, 155 (96.4%) were unable to change sanitary pads, 18 (11%) had stained PPE suits, and 146 (99.9%) experienced challenges in the disposal of sanitary napkins. Conclusion: Many FHCWs felt that PPE offered protection but also compromised work efficiency. Sweating, discomfort, and managing menstrual hygiene within PPE were common challenges encountered. Providing training on PPE usage, adjusting shift durations, implementing policies for the supply of sanitary pads, permitting breaks for changing, ensuring proper disposal arrangements, providing necessary medications and additional PPE if required, leaves, or creating alternative duty arrangements would be beneficial for FHCWs.

An analysis on the relationship between safety measures and dermatological complaints among printing industry workers in Bangladesh

Background: Work-related skin diseases occupy approximately 50 percent of total occupational illnesses and areresponsible for an estimated 25 percent of all lost workdays globally in many industries including printing industries.This study aimed to reveal the characteristics of dermatological problems and safety measures among printing workersin Bangladesh. Materials and methods: A cross-sectional study was conducted among 196 conveniently sampledprinting workers from 51 factories in September 2018. Data were collected by face-to-face interviews using a semi-structured questionnaire. A logistic regression model was applied to estimate the risk factors for dermatologicalproblems. Results: Among 196 respondents 74.0% experienced dermatological problems after joining a printingjob. Only 30.1% of respondents were found using personal protective equipment (PPE). No use of PPE, barriercream, hand washing more than 4 times a day, and duty in the printing process had a significant association with skinproblems (P&lt;0.001). In the printing process, the workers who handled papers, chemicals, and machines and wereinvolved in cleaning machinery had a higher prevalence of dermatological problems. Logistic regression analysisshowed a significant association of skin problems among printing workers in Bangladesh with male (OR 0.23; 95%CI 0.06–0.98), higher monthly salaries (OR 17.98; 95% CI 3.14–103.08) and shorter daily work hours (OR 0.01;95% CI 0.01–0.56). Conclusion: This study revealed a high prevalence of dermatological problems among printingworkers in Bangladesh. PPE usage, avoiding excessive hand washing, and hand cream would be helpful in avoidingdermatological problems among printing workers in Bangladesh.

Pengukuran Kinerja Supply Chain Management dengan Metode Supply Chain Operation Reference di PT Otsuka Indonesia

Supply chain management encompasses the study of efficiency and effectiveness in material, information, and monetary flow within the industrial sector. Assessing performance is pivotal in gauging a company's managerial capacities. At PT Otsuka Indonesia, research was undertaken during an internship, involving observations and interviews. Subsequently, Key Performance Indicators (KPIs) were formulated, covering aspects such as accuracy in raw material usage, precision in production level planning, frequency of production plan changes, source cycle time, finished product quality, make cycle time, delivery cycle time, precision in avoiding delays in finished goods delivery, and return of finished goods. Snorm de Boer normalization was applied to calculate the KPIs, generating performance results for each indicator. Determining the ultimate performance involved weighting via the Analytical Hierarchy Process (AHP) method, assigning significance levels to each KPI. Post data processing, it was evident that the finished product quality indicator had the lowest value. Consequently, improvement proposals were designed using the Failure Mode and Effects Analysis (FMEA) method. These proposals culminated in the development of warning sticker designs for machine cleaning, comprehensive Personal Protective Equipment (PPE) usage, and scales rechecking.

Impact of Personal Protective Equipment usage and hand washing due to COVID-19 on the rate of HA-CDI

Background:&#x0D; Clostridium difficile infection (CDI) is one of the most common healthcare-associated (HA) infections. Advanced age, use of proton pump inhibitors, concomitant antibiotics, steroids, prolonged hospital stay, and gastrointestinal surgeries are associated with increased incidence of disease. CDI is transmissible via the fecal-oral route by ingestion of spores and is readily transmitted in the hospital between patients and caregivers. Strict contact precautions and handwashing are implemented in health care settings to prevent its transmission. The current pandemic of Coronavirus disease (COVID-19) has led to imposing restrictions on patient admission, visitor visit and implementing extra measures on handwashing along with the use of personal protective equipment (PPE). Therefore, the main objective of this study is to identify if additional preventive measures for COVID-19 have any impact on the rate of HA-CDI.&#x0D; Methods: &#x0D; A retrospective study was conducted on patients diagnosed with HA-CDI during the COVID-19 year (2020) and compared with patients of the pre-COVID-19 year (2019) from March to October. A comparison of baseline characteristics, risk factors and patient hospitalization were compared.&#x0D; Results:&#x0D; During the study period, a total of 148 cases were diagnosed with HA-CDI of which 75 cases were in the pre-COVID-19 and 73 cases in COVID-19 year accounting for a total of 149,092 and 136,982 inpatient bed days respectively. The rate of HA-CDI was 5.03 vs 5.33 per 10,000 hospitalized patients in the pre-COVID-19 year vs COVID-19 year. No significant differences in baseline demographic characteristics, (age, sex, race and BMI); comorbidities (diabetes and hypertension) and risk factors like cancer and steroid use were observed between the two groups. Factors associated with CDI like antibiotic use (p=0.001) and proton pump inhibitor use (p= 0.005) was significantly lower in COVID-19 year. However, there was a significantly high number of patients that had undergone gastrointestinal (GI) surgery (22.6% vs 6.6%, p=0.01) during COVID-19 year. Almost half of the patients in each group stayed in the intensive care unit (ICU) and the mean length of ICU stay was significantly higher in COVID-19 year (20.4± 34.3 days vs 11.6± 16.9 days, p= 0.03). The mortality rate was higher (20.5% vs 12%, p= 0.23) during COVID-19 period. A sub-analysis was done with 2020 data to identify if there lies any contributing factors to the increase CDI rate. 21 cases were positive for COVID-19, of which 28.5% underwent GI surgery; 19% received steroids (Dexamethasone), 76.1% stayed in ICU with median LOS (16± 20.2) and 52.3% died.&#x0D; Conclusions:&#x0D; Based on our observations, a slightly higher rate of symptomatic HA-CDI was observed during COVID-19 year when compared with pre-COVID-19 year. Implementation of measures to prevent the spread of COVID-19 e.g., use of PPE, handwashing, environmental cleaning, visitor restriction etc. were expected to help decrease HA-CDI, which was not observed in our study. We did observe longer ICU stay and higher rate of GI surgery among patients who had HA-CDI in 2020. Higher acuity patients and increased rate of these risk factors amongst patients admitted in year 2020 might have offset the expected benefit of COVID-19 prevention strategies.