| 1 | Impact of coronavirus disease 2019 on prevention and elimination strategies for hepatitis B and hepatitis C显示文摘The coronavirus disease 2019(COVID-19)pandemic has resulted in significant morbidity and mortality since its first case was discovered in December 2019.Since then,multiple countries have witnessed a healthcare system collapse due to the overwhelming demand for COVID-19 care.Drastic measures have been taken globally in order to curb the spread of the virus.However,those measures have led to the disruption of other aspects of healthcare,increasing the burden due to other medical conditions.We have also stepped back in achieving the ambitious goal set in place by World Health Organization to eliminate viral hepatitis as a public threat by 2030.Hepatitis B and C are chronic conditions with a significant worldwide burden,and COVID-19 has resulted in many hepatitis elimination programs slowing or stopping altogether.In this review,we elucidate the impact of the ongoing COVID-19 pandemic on the interventions targeted towards the elimination of hepatitis B virus and hepatitis C virus.Some of the salient features that we have covered in this review include hindrance to screening and diagnostic tests,neonatal vaccinations,the transmission dynamics affecting hepatitis B virus and hepatitis C virus,role of limited awareness,restrictions to treatment accessibility,and disparity in healthcare services.We have highlighted the major issues and provided recommendations in order to tackle those challenges. | Syed Tabish Rehman Hareem Rehman Shahab Abid | 2021 | World Journal of Hepatology2021，13，7： | 0 |
| 2 | Ergonomics of gastrointestinal endoscopies:Musculoskeletal injury among endoscopy physicians,nurses,and technicians显示文摘BACKGROUND Musculoskeletal injuries(MSI)have plagued endoscopists and ancillary staff for decades without any innovative and strong ergonomic guidelines.It has placed a physical and mental strain on our endoscopists and ancillary staff.We have very have limited data supporting this claim in our region and most data is supported by western literature.AIM To document the prevalence of MSI,and awareness and practices of ergonomics by endoscopists and ancillary staff.METHODS This is an observational cross-sectional study,conducted in Karachi,a city that boasts the maximum number of daily endoscopies in the country.An eleven-point self-administered questionnaire was distributed and used to evaluate MSI and ergonomic adjustments amongst three tertiary care setups in Karachi.An onsite survey via a 13-point checklist for endoscopy suite facilities was used to assess the ergonomically friendly conveniences at five tertiary care setups in Karachi.A total of 56 participants replied with a filled survey.RESULTS There were 56 participants in total with 39(69.6%)males.Pain and numbness were documented by 75%of the patients,with pain in the neck(41.1%),lower back(32.1%),shoulder(21.4%),thumb(12.5%),hand(23.2%),elbow(8.9%),and carpal tunnel syndrome(CTS)(7.1%).Of those,33.3%attributed their symptoms to endoscopy, 14.2% said that symptoms were not caused by endoscopy, and 52.4% were notcertain whether endoscopy had caused their symptoms. Twenty-one point four percent of patientshad to take time off their work, while 33.9% took medications for pain. Ergonomic modifications toprevent musculoskeletal injury, including placement of endoscopic monitor at eye level and thecardiac monitor in front, stopping the procedure to move patients, sitting while performingcolonoscopy, and navigating height-adjustable bed were used by 21.4%. Nine out of 13 ergonomicfacilities were not present in all five tertiary care hospitals. Conveniences, such as anti-fatiguemats, height-adjustable computer stations, and time out between patients were not present.CONCLUSIONThree-fourth of our endoscopists reported MSI, of which more than half were not sure orattributed this problem to endoscopy. The prevalence of MSI warrants urgent attention. | Samana Zainab Shah Syed Tabish Rehman Aysha Khan Muhammad Muneeb Hussain Mohsin Ali Sonaila Sarwar Shahab Abid | 2022 | World Journal of Gastrointestinal Endoscopy2022，14，3： | 0 |
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