Medicine

Medicine

The centre of the device. the lamp has a dome covered with a reflective, protective coating. three metal carriers were placed at the maximum distance from the uv-c lamp in three different positions and tested at 30 and 60 seconds 3 times. the carriers were inoculated with 100 m l of sars-cov-2 viral suspension with a concentration of 106.5 tcid50 /ml. after treatment, laboratory procedures were used to transfer the treated virus from carriers to multiwell plates. the samples were compared with positive controls (not exposed to uv-c light) after incubation, at 37 c in 5% coo ˜ in a humidified atmosphere, for 3 days. the residual viral activity was tested by assessing the 50% infectious dose per tissue culture (tcid50%). results: tests performed at 30 seconds of uv-c irradiation show an average viral reduction of 4.0 log10 (99.99%). all three tests performed at 60 seconds reached the maximum measurable log10 viral reduction: 5.0 log10 (99.999%). conclusions: the study assessed effectiveness of device in significantly reducing the viral load on all carriers regardless exposure time and distance from the uv-c light source, with no impact on the level of environmental pollution. key messages: uv-c light has the property of inactivating viral growth; its physical approach is considered a good compromise between cost and effectiveness. the device was effective in disinfecting all small everyday objects tested

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HIGHLIGHTS who: P Barbini from the Department of Medical Biotechnology, University of Siena, Siena, Italy have published the paper: the […]

Medicine

An essential role in the transition as moving forward to provide professional care for inpatients. methods: hospitalists from 12 hospitals across taiwan completed a cross-sectional survey. the target population was identified through taiwan doctors and nurses. survey questionnaire was accessed by 342, incomplete response (18) were excluded and 324 completed responses were analysed. results: that the higher the cognition of medical staff on whole-person care, the higher the motivation to participate in cross-team cooperation (f = 35.914, p < 0.001); when the motivation to participate in cross-team cooperation was higher, the behavior of participating in whole-person care also increased. will be higher (f = 36.483, p < 0.001); whole-person care behavior participation behavior has a significant impact on value creation (f = 21.068, p < 0.001) conclusions: as the taiwan medical system is facing a paradigm shift, the taiwan hospitalist system will play an essential role in the transition as moving forward to provide professional care for inpatients. this change will make possible the improvement of patient safety and quality medical care. the research results can be provided for reference in european and american countries. key messages: a hospitalist support system is essential for establishing an efficient medical environment and reducing administrative work, which can help hospitals introduce a hospitalist system. to build a more stable and sustainable system, it is necessary to create a systemic operational foundation for proceeding with this new hospitalist system

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HIGHLIGHTS who: from the (UNIVERSITY) have published the article: an essential role in the transition as moving forward to provide

Medicine

To 63 years completing a medical rehabilitation between 2008 and 2013 in germany and traced their employment status over a 24-month follow-up period. job exposures were operationalised with the overall job exposure index (kroll, 2015) by applying job-exposure-matrices. results: persons with high job exposures in comparison to those with low job exposures were less likely to be employed (87.6% vs. 92.6%) and more likely to be unemployed (13.9% vs. 7.7%) and to draw disability pension (4.8% vs. 4.4%) for at least one month in the 2-year-period after rehabilitation. one minus survival curves showed that the differences were already evident in the first month after rehabilitation and further increased during the following 24 months. cox regressions revealed that these associations remained stable when adjusting for gender, age, and employment status before rehabilitation. conclusions: the results underline the importance of addressing job exposures during rehabilitation to enhance return-to-work and stay-at-work after rehabilitation. these findings could help to identify particularly vulnerable groups of insured persons based on routine data at an earlier stage than has been the case so far and to give them access to structured workplace-oriented medical rehabilitation programmes that have been established in recent years. key messages: high job exposures are associated with less work participa- tion after medical rehabilitation. to increase return-to-work, it may be useful to address job exposures in rehabilitation more than before

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HIGHLIGHTS who: from the (UNIVERSITY) have published the article: to 63 years completing a medical rehabilitation between 2008 and 2013

Medicine

Suppose, government decisions strongly affected in fatality rate in this province, in terms of the evacuation of severely diseased patients to the capital. key messages: vaccination is played important role in covid-19 epidemiology. burden of covid-19 need to be investigated deeply in association with political decisions

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HIGHLIGHTS who: Key messages and collaborators from the Waseda University, Tokyo, Japan have published the Article: suppose, government decisions strongly

Medicine

Workplace are not limited to the health of the victim alone as it also affects the organization as well as the health of a society. the organizational context is a fundamental determinant of sexual harassment and we need to increase our understanding of organizational cultures that affect such behaviors in order to develop and implement effective interventions in the restau- rant business. the aim of this study was to give a comprehensive picture of organizational cultures that increase the risk for sexual harassment in the restaurant business. methods: individual interviews with twenty-nine employees in the restaurant business (e.g. waiting staff, chefs, bartenders, managers) were conducted during 2019-2021. thematic analysis was used to analyze organizational cultures that increase the risk for sexual harassment in the restaurant preliminary results show complex web intersecting cultures such as a toxic macho culture, a weak leadership culture and a close relational culture that cooperate at different hierarchical levels and increase the risk for sexual harassment. the results also show how organizational factors such as workforce demography, unsocial working hours, staff turnover and understaffing are interacting with the organiza- tional cultures in the creation of a hostile environment that increases the risk for sexual harassment. conclusions: the results elucidate why traditional interventions such as training or bystander interventions are inefficient in the restaurant business. the results can be used to develop interventions that focus on macho-cultures in restaurants, the leadership culture and the specific relationship culture that develop due to the specific organizational structures in the restaurant business. key messages: there is a need to focus on organizational factors in order to work against sexual harassment in the restaurant business and is a prerequisite for developing efficient interventions. sexual harassment affects many people in working life and is a serious public health problem. also, sexual harassment at work maintains gender-based inequalities that exist at a structural level

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HIGHLIGHTS who: from the (UNIVERSITY) have published the Article: workplace are not limited to the health of the victim alone

Medicine

System to achieve the goals of improving the health of the population. identifying medical deserts (md) is far from simple. the aim of this study is to describe the approach to identification of medical deserts in serbia using indicators for the health system inputs, processes and outputs. methods: we investigated the basic healthcare-related medical deserts using the indicators of primary health care centers’ inputs (accessibility: annual number of patients per physician), processes (performance: annual workload of patient visits per physician) and outputs (unmet needs: percentage of patients unable to access health services) in all 25 serbian districts in 2020, using data of the health statistical yearbook of the republic of serbia and the national patient satisfaction survey of the institute of public health. we developed a multiple criteria scoring system (mcss) incorporating the weighting and scoring of accessibility and performance for four types of physicians (general practitioners, pre-school pediatricians, youth pediatricians, and gynecologists) and five dimensions of unmet needs (financial reasons, waiting times, lack of personal time, long-distance and covid-19). mcss final scores 0 (none) – 100% (mds on all indicators) are assessed using the regulatory norms. results: mds partially overlap by different criteria: accessibility, 4-10 districts; performance, three districts; unmet needs: 2-5 districts. top five medical deserts identified according to the mcss are macˇvanski, s ˇ umadijski, moravicˇki, srednjebanatski, and podunavski district. conclusions: serbia has at least one md per administrative region according to the objective normative indicators and patients’ subjective experiences. the study findings can be used to inform district stakeholders on how to use health workforce policy and planning to address medical deserts. key messages: mcss indicates potential medical deserts in 20% of all districts in the republic of serbia. evidence on poor health workforce accessibility and performance in light of the patient unmet healthcare needs could be used to inform stakeholders on medical deserts in the country

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HIGHLIGHTS who: from the Robotic surgery has many clinical advantages but high costs, raising the issue of healthcare sustainabilityThis study

Medicine

Lessons: the project’s success relies on knowing the context and setting, considering the needs of all stakeholders, and developing offerings that are a relief but not an additional burden, and that can be easily integrated into the program. key messages: a thorough ethnographic understanding of the course is key to developing interventions that will be perceived to be appropriate and relevant. hl promotion should integrate teachers’ hl, informal occasions on health information exchange, diverse and multilingual ways to engage with health information and a systematic, deliberate development

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HIGHLIGHTS who: Nina Simonsen et al. from the Finland Uppsala University, Department of Food Studies, Nutrition and Dietetics have published

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