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Stability of Three Different Sanitary Shoes on Healthcare Workers: A Cross-Sectional Study.

ABSTRACT: BACKGROUND:The main purpose of this research was to determine the stability of three different sanitary shoes on nurses with eyes open and closed with respect to barefoot condition. In addition, the secondary aim was to determine the reliability of stability measurements under these different conditions. METHODS:A crossover quasi-experimental study (NCT03764332) was performed. Twenty-six nurses who wore different sanitary shoes (Eva Plus Ultralight®, Gym Step® and Milan-SCL Liso®) were evaluated with respect to barefoot condition for stability measures on the Podoprint® podobarometric and stabilometry tool and with eyes open and closed. Furthermore, the reliability of stability measurements was determined by the intraclass correlation coefficient (ICC) under these different conditions. RESULTS:Between-groups comparisons of the static and stabilometry podobarometric data with eyes open showed statistically significant differences (p < 0.05). Milan-SCL Liso® sanitary shoes improved podobarometric data of forefoot force and distribution with respect to barefoot condition. Eva Plus Ultralight® and Gym Step® sanitary shoes increased the stroke length mean, stroke surface mean, and anterior speed mean as well as reduced y axis displacement mean with respect to barefoot condition. Similar findings were determined for measurements with eyes closed. ICCs ranged from poor to excellent reliability (ICC = 0.010-0.995). CONCLUSIONS:Sanitary shoes improved podobarometric and stabilometry stability with respect to barefoot condition.

SUBMITTER: Sanchez-Saez JM

PROVIDER: S-EPMC6616452 | biostudies-literature | 2019 Jun

REPOSITORIES: biostudies-literature

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Stability of Three Different Sanitary Shoes on Healthcare Workers: A Cross-Sectional Study.

Sánchez-Sáez José Manuel JM Palomo-López Patricia P Becerro-de-Bengoa-Vallejo Ricardo R Calvo-Lobo César C Losa-Iglesias Marta Elena ME López-Del-Amo-Lorente Andrés A López-López Daniel D

International journal of environmental research and public health 20190616 12

<h4>Background</h4>The main purpose of this research was to determine the stability of three different sanitary shoes on nurses with eyes open and closed with respect to barefoot condition. In addition, the secondary aim was to determine the reliability of stability measurements under these different conditions.<h4>Methods</h4>A crossover quasi-experimental study (NCT03764332) was performed. Twenty-six nurses who wore different sanitary shoes (Eva Plus Ultralight<sup>®</sup>, Gym Step<sup>®</sup ...[more]

PMID: 31208123

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Project description:Highlights • 4.3% of our hospital HCWs were infected with COVID 19 during the study period.• There was no significant difference between hospital and community acquisition of the infection with age, nationality, or presence of co-morbidities.• There was a significant difference between hospital and community-acquired concerning HCWs categories, gender and being at risk of exposure to COVID-19 in the hospital.• 78% of the infected HCWs had no chronic diseases and all had an uneventful recovery. Introduction Corona Virus Disease 19 (COVID-19) is a new emerging infectious disease that was first identified in China, in December 2020 which is caused by SARS-CoV-2. This study describes the characteristics healthcare workers (HCWs) who tested positive for COVID-19 in a tertiary care hospital in Oman. Method a cross-sectional descriptive analysis of COVID-19 infected HCWs. Results During the study period, 204 HCWs were tested positive for COVID-19 by rRT-PCR test with a test positivity rate of 21.2% and the percentage of infected hospital staff was 4.3%. The mean age was 36 years, 2.2% of the male staff were infected while 9.3% of the female staff got infected. Among the clinicians, 4.7% were infected and among the nurses, 4.1% were infected. 61.3% (125) of infection were community acquired followed by hospital acquisition 25.5% (52) and no source was identified in 13.2% (27). There was a significant difference between hospital acquired and community acquired COVID-19 infection between different HCWs categories (p?<?0.001), gender (p?=?0.041) and being at risk of COVID 19 exposure in the hospital (p?<?0.001). There were no significant differences in relation to nationality (p?=?0498), age (p?=?0.119) or presence of co-morbidities (p?=?0.326). 78% (n?=?160) had no chronic diseases, presented with ARI and fever 44% (n?=?90) and all had uneventful full recovery. The peak of infection acquisition was after Eid AL Fiter Festival. Conclusion HCWs are at an increased risk of COVID-19 infection at the workplace. Strengthening the infection control measures to prevent exposures from infected patients or colleagues and reduce the spread of COVID- 19 is a necessity.

Project description:BackgroundBest practice of infection prevention and control (IPC) is a hallmark for the patient care in health care settings, but it is a major problem in developing countries like Ethiopia where resources are limited. Ethiopia Federal Ministry of Health working to strengthen its IPC program, but still it there is no organized study conducted on assessment of performance gaps and implementation challenges of IPC practice faced by hospital staffs particularly among sanitary workers (SWs) at public hospitals inline to national and international guidelines.AimThis study focuses on compliance and determinants of IPC among sanitary worker in public hospitals in eastern Ethiopia: A cross sectional study design.MethodA cross-sectional study was conducted among 809 SWs and eight IPC experts in public hospitals, eastern Ethiopia, from May to August 2023. A standard questionnaire was used to collect data. Face-to-face interview was conducted. Ten (10) question pursued to answer YES/NO were prepared. The cut point for categories of IPC practice was 1: Good (16-20 scores), 2: Fair (10-15 scores), and 3: Poor (<10 scores). The cut point for compliance and noncompliance of IPC practice among hospitals was mean (500.1). Multi-level ordinal logistic regression models was applied to explore the association of dependent and independent variables at individual level (Model 1), hospital level (Model 2) and at both (Model 3). Crude odds ratio (COR) and adjusted odds ratio (AOR) at 95% confidence interval (CI) were used to report the result.ResultThe compliance of IPC practice among SWs was 36.21% (32.72, 39.82%). The Multilevel ordinal logistic regression model shows that SWs who have good knowledge of IPC trend (AOR: 4.70, 95% CI: 2.11-10.46), SWs who are not addictive with alcohol (AOR: 2.35, 95% CI: 1.15,4.78) and chew Khat (AOR: 1.62, 95% CI: 1.06,2.46) and smoke cigarette (AOR: 3.15, 95% CI: 2.35-5.41), and SWs without job stress (AOR: 1.46, 95% CI: 0.86-2.48) were more compliant to IPC practice. Similarly, those who do not have workload (AOR: 2.74, 95% CI: 1.56-4.82), work <8 h/day (AOR: 1.46, 95% CI: 0.92-2.30), and those who have good social recognition in hospitals (AOR: 6.08, 95% CI: 4.24-8.71) were more likely to increase the compliance of IPC practice among SWs. The multilevel random-effect model revealed 93.71% of the variability of compliance of IPC practice explained by both individual and hospital level factors.ConclusionThe overall study found that inadequate IPC practice was reported among SWs as well as by IPC experts due to poor knowledge of IPC trend and individual behaviors and working environment. Thus, the study advised that hospitals have to develop and establish IPC implementation guidelines in order to solve the concerns among these groups; national IPC office should follow its implementation across health care settings particularly at public hospitals.

Project description:ObjectiveWe sought to determine the extent of SARS-CoV-2 seroprevalence and the factors associated with seroprevalence across a diverse cohort of healthcare workers.DesignObservational cohort study of healthcare workers, including SARS-CoV-2 serology testing and participant questionnaires.SettingsA multisite healthcare delivery system located in Los Angeles County.ParticipantsA diverse and unselected population of adults (n=6062) employed in a multisite healthcare delivery system located in Los Angeles County, including individuals with direct patient contact and others with non-patient-oriented work functions.Main outcomesUsing Bayesian and multivariate analyses, we estimated seroprevalence and factors associated with seropositivity and antibody levels, including pre-existing demographic and clinical characteristics; potential COVID-19 illness-related exposures; and symptoms consistent with COVID-19 infection.ResultsWe observed a seroprevalence rate of 4.1%, with anosmia as the most prominently associated self-reported symptom (OR 11.04, p<0.001) in addition to fever (OR 2.02, p=0.002) and myalgias (OR 1.65, p=0.035). After adjusting for potential confounders, seroprevalence was also associated with Hispanic ethnicity (OR 1.98, p=0.001) and African-American race (OR 2.02, p=0.027) as well as contact with a COVID-19-diagnosed individual in the household (OR 5.73, p<0.001) or clinical work setting (OR 1.76, p=0.002). Importantly, African-American race and Hispanic ethnicity were associated with antibody positivity even after adjusting for personal COVID-19 diagnosis status, suggesting the contribution of unmeasured structural or societal factors.Conclusion and relevanceThe demographic factors associated with SARS-CoV-2 seroprevalence among our healthcare workers underscore the importance of exposure sources beyond the workplace. The size and diversity of our study population, combined with robust survey and modelling techniques, provide a vibrant picture of the demographic factors, exposures and symptoms that can identify individuals with susceptibility as well as potential to mount an immune response to COVID-19.

Dataset Information

Stability of Three Different Sanitary Shoes on Healthcare Workers: A Cross-Sectional Study.

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Stability of Three Different Sanitary Shoes on Healthcare Workers: A Cross-Sectional Study.

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