Introduction: Laboratory personnel (LP) represent a high-risk group of healthcare workers for whom the primary laboratory environment and specific work activities are a major source of potential exposure to health hazards. This study aimed to evaluate the developed matrix and assess risk based on self-assessment. Methods: This multicenter, qualitative, and cross-sectional study was conducted on LP employed in biomedical laboratories. The respondents were divided into groups according to their territorial affiliation. The data collection tool used was a six-area questionnaire distributed online through a network of professional associations. For the risk assessment, a matrix was developed with scores ranging from 0 to 650, dividing the risk level into four categories. Descriptive and inferential statistical methods were used for the statistical analysis. Results: The developed model combined the classification of risk and risk factors with a certainty of p < 0.001. The regression analysis showed that working conditions had the greatest influence on overall risk, followed by physical, biological, and physical hazards. Of the 640 respondents, the medium risk category was the highest in European Union (EU) countries (81.2%). Comparing the values in the high-risk category between the Bosnians and Herzegovinians (BiH) group and the Republic of Serbia, Republic of Northern Macedonia, and Montenegro (SCM) group with the EU group, a doubling (16.6%: 36.7%) and tripling (16.6%: 52.1%) of the proportion was found, respectively (p < 0.001). Overall, 1.7% of the LPs from BiH fell into the high-risk category. Conclusions: The designed matrix provides a reliable basis for identifying risk predictors in the study population and can serve as a useful tool for conducting risk assessments in biomedical laboratories. The results of the risk assessment indicate significant differences between the studied groups and highlight the need for increased control of BiH workplaces through new regulatory requirements.
INTRODUCTION: Inflammatory bowel disease (IBD) comprising ulcerative colitis (UC) and Crohn disease (CD), affects >1 million individuals in the United States and 2.5 million inEurope. IBD is an immune-mediated chronic condition for which currently no definitive cure is available. The current study utilizes apositive psychology framework to understand the role of stress in IBD, seeks a proof ofconcept that stress resilience could be a protective factor in patients with IBD. Resilienceis defined as the inherent and modifiable capacity of an individual to cope or recover from adversity. OBJECTIVE: On the basis of previous knowledge, we want explain and bring closer the understanding of the resilience of patients with inflammatory bowel diseases. METHODS: The PubMed database, and the Google scholar database were searched. The search was performed using keywords. This paper includes research dealing with resilience in patients with inflammatory bowel diseases within the last ten years. RESULTS: Although IBD imposes a mental and physical toll on individuals, someindividuals do report feeling stronger due to having IBD. Most studies included in this review investigated psychological resilience and trait resilience that promoted the ability to bounce back from IBD-related adversity. Conversely, higher levels of resilience were found to predict better quality of life among IBD patients. Higher levels of resilience predicted higher levels of adaptation to the ostomy; notably, perseverance— defined as a trait of resilience was the most reliable predictor. Resilience was not significantly affected by clinical characteristics in UC patients. CONCLUSION: Many unmet needs still exist in the IBD research agenda, including a better understanding of its physiopathology, reduction of diagnostic delays, discovery of more effective and safer drugs, optimisation of existing therapies, improving patients’ adherence to the treatment plan, improving patient’s quality of life, management of extraintestinal manifestations, and prevention of complications. A multidimensional approach is necessary for delivering high-quality healthcare for IBD patients.
Introduction: Glycated hemoglobin (HbA1c) is formed by non-enzymatic binding of glucose to the free amino group of the N-terminal end of the s-chain of hemoglobin A. HbA1c is representative of the mean blood glucose level over three months. The aim of the study was to evaluate the Hemoglobin A1c immunoturbidimetric assay performance on two different commercial systems.Methods: We evaluated the precision and trueness for determination of HbA1c in whole blood. Concentrations of total hemoglobin and HbA1c were evaluated on Dimension Xpand (Siemens) and Cobas 501 (Roche) analyzers. HbA1c was measured in a latex agglutination inhibition test. Commercial controls Liquichek Diabetes Control Level 1 and Liquichek Diabetes Control Level 2 (Bio Rad) at two levels were used for quality control. Analytical validation of HbA1c included: within-run imprecision, between-day imprecision, inaccuracy and comparison determination on the human samples on 2 systems: Dimension Xpand and Cobas 501 analyzers. Results: Within-run imprecision on the commercially controls for Level 1 is 4.5% and Level 2 is 3.2% between-day imprecision on commercially controls is 6.1% Level 1 and 5.1% Level 2 for respectively inac- curacy on commercially controls for Level 1 is 1.8% and Level 2 is 4.8%. Method comparison on human samples shows the correlation coefficient of 0.99.Conclusion: The presented results of the analytical evaluation methods for the determination of HbA1c showed an acceptable accuracy and precision.
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