(searched for: doi:10.46683/jmvi.2020.6)
International Journal of Social Inquiry; https://doi.org/10.37093/ijsi.932805
Bir binada yaşayanların ya da çalışanların beklenenden daha sık karşılaştığı, bina ile ilişkili olarak görülen solunum sistemi şikayetleri, halsizlik, baş ağrısı ve konsantrasyon bozukluğu, cilt hastalığı gibi kişide rahatsızlık veren bir dizi ortak belirti olarak ifade edilen hasta bina sendromu, günümüzde hemen her kapalı alanda kendini göstermektedir. Hasta bina sendromu semptomlarının ortaya çıkması, ergonomik risk faktörlerinin yanısıra, anksiyete ve stres gibi psiko-sosyal risk faktörlerine de neden olmaktadır. Bu çalışmanın amacı, hasta bina sendromu semptomları ile stres ilişkisini ortaya koymak ve COVİD-19 pandemisi nedeniyle uzun süre kapalı alanlarda kalanlarda görülebilecek semptomlara dikkat çekmektir. Bu çalışmada, COVİD-19 pandemisi nedeniyle Dünya Sağlık Örgütünün “evde kal” sloganıyla başlattığı genel karantina ilanı ile kapalı alanlarda uzun süre yaşayanlarda ortaya çıkabilecek bu semptomların, tüm bireyleri etkileyen küresel korku ve endişenin yanısıra stresi daha da arttıracağının önemi de vurgulanmaya çalışılmıştır. 259 AVM mağaza çalışanı ile gerçekleştirilen araştırma sonuçları; çalışanlarda boğaz kuruluğu, burun akıntısı, nefes darlığı ve genel kas-eklem ağrısı semptomlarının görüldüğü, bunun da Covid-19 belirtilerine benzer göstergeler olduğu anlaşılmaktadır. Ayrıca alışveriş merkezlerinde görülen hasta bina sendromu belirtilerinin çalışanların stres seviyelerini yükselttiği tespit edilmiştir (F: 55.769, p: 0.00). Sick building syndrome, which expressed as a series of common symptoms that are seen more frequently than expected by the residents or employees of a building, which are associated with the building, such as skin, respiratory system complaints, headache, fatigue, and concentration impairment, which cause discomfort in the person. The emergence of sick building syndrome symptoms causes psycho-social risk factors such as anxiety and stress as well as ergonomic risk factors. The aim of this study is to reveal the relationship between sick building syndrome symptoms and stress and to draw attention to the symptoms that may be seen in those who stay in closed area for a long time due to the COVID-19 pandemic. In this study, with the general quarantine declaration initiated by the World Health Organization with the slogan of "stay at home" due to the COVID-19 pandemic, the importance of these symptoms, which may occur in those living in closed area for a long time, will increase the stress as well as the global fear and anxiety affecting all individuals. The results of the research conducted with 259 shopping mall employees; it is understood that employees have symptoms of dry throat, runny nose, shortness of breath, and general muscle-joint pain, which are indicators similar to Covid-19 symptoms. In addition, it has been found that the symptoms of sick building syndrome seen in shopping malls increase the stress levels of employees (F: 55.769, p: 0.00).
Published: 9 May 2021
World Journal of Critical Care Medicine, Volume 10, pp 47-57; https://doi.org/10.5492/wjccm.v10.i3.47
Recent studies of the coronavirus disease 2019 (COVID-19) demonstrated that obesity is significantly associated with increased disease severity, clinical outcome, and mortality. The association between hepatic steatosis, which frequently accompanies obesity, and the pneumonia severity score (PSS) evaluated on computed tomography (CT), and the prevalence of steatosis in patients with COVID-19 remains to be elucidated. To assess the frequency of hepatic steatosis in the chest CT of COVID-19 patients and its association with the PSS. The chest CT images of 485 patients who were admitted to the emergency department with suspected COVID-19 were retrospectively evaluated. The patients were divided into two groups as COVID-19-positive [CT- and reverse transcriptase-polymerase chain reaction (RT-PCR)-positive] and controls (CT- and RT-PCR-negative). The CT images of both groups were evaluated for PSS as the ratio of the volume of involved lung parenchyma to the total lung volume. Hepatic steatosis was defined as a liver attenuation value of ≤ 40 Hounsfield units (HU). Of the 485 patients, 56.5% (n = 274) were defined as the COVID-19-positive group and 43.5% (n = 211) as the control group. The average age of the COVID-19-positive group was significantly higher than that of the control group (50.9 ± 10.9 years vs 40.4 ± 12.3 years, P < 0.001). The frequency of hepatic steatosis in the positive group was significantly higher compared with the control group (40.9% vs 19.4%, P < 0.001). The average hepatic attenuation values were significantly lower in the positive group compared with the control group (45.7 ± 11.4 HU vs 53.9 ± 15.9 HU, P< 0.001). Logistic regression analysis showed that after adjusting for age, hypertension, diabetes mellitus, overweight, and obesity there was almost a 2.2 times greater odds of hepatic steatosis in the COVID-19-positive group than in the controls (odds ratio 2.187; 95% confidence interval: 1.336-3.580, P < 0.001). The prevalence of hepatic steatosis was significantly higher in COVID-19 patients compared with controls after adjustment for age and comorbidities. This finding can be easily assessed on chest CT images.