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Keywords = PFAS sustainable management

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34 pages, 2648 KiB  
Review
Microfluidic Sensors for Micropollutant Detection in Environmental Matrices: Recent Advances and Prospects
by Mohamed A. A. Abdelhamid, Mi-Ran Ki, Hyo Jik Yoon and Seung Pil Pack
Biosensors 2025, 15(8), 474; https://doi.org/10.3390/bios15080474 - 22 Jul 2025
Viewed by 423
Abstract
The widespread and persistent occurrence of micropollutants—such as pesticides, pharmaceuticals, heavy metals, personal care products, microplastics, and per- and polyfluoroalkyl substances (PFAS)—has emerged as a critical environmental and public health concern, necessitating the development of highly sensitive, selective, and field-deployable detection technologies. Microfluidic [...] Read more.
The widespread and persistent occurrence of micropollutants—such as pesticides, pharmaceuticals, heavy metals, personal care products, microplastics, and per- and polyfluoroalkyl substances (PFAS)—has emerged as a critical environmental and public health concern, necessitating the development of highly sensitive, selective, and field-deployable detection technologies. Microfluidic sensors, including biosensors, have gained prominence as versatile and transformative tools for real-time environmental monitoring, enabling precise and rapid detection of trace-level contaminants in complex environmental matrices. Their miniaturized design, low reagent consumption, and compatibility with portable and smartphone-assisted platforms make them particularly suited for on-site applications. Recent breakthroughs in nanomaterials, synthetic recognition elements (e.g., aptamers and molecularly imprinted polymers), and enzyme-free detection strategies have significantly enhanced the performance of these biosensors in terms of sensitivity, specificity, and multiplexing capabilities. Moreover, the integration of artificial intelligence (AI) and machine learning algorithms into microfluidic platforms has opened new frontiers in data analysis, enabling automated signal processing, anomaly detection, and adaptive calibration for improved diagnostic accuracy and reliability. This review presents a comprehensive overview of cutting-edge microfluidic sensor technologies for micropollutant detection, emphasizing fabrication strategies, sensing mechanisms, and their application across diverse pollutant categories. We also address current challenges, such as device robustness, scalability, and potential signal interference, while highlighting emerging solutions including biodegradable substrates, modular integration, and AI-driven interpretive frameworks. Collectively, these innovations underscore the potential of microfluidic sensors to redefine environmental diagnostics and advance sustainable pollution monitoring and management strategies. Full article
(This article belongs to the Special Issue Biosensors Based on Microfluidic Devices—2nd Edition)
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37 pages, 3892 KiB  
Review
Sustainable Remediation Strategies and Technologies of Per- and Polyfluoroalkyl Substances (PFAS)-Contaminated Soils: A Critical Review
by Rosario Napoli, Filippo Fazzino, Federico G. A. Vagliasindi and Pietro P. Falciglia
Sustainability 2025, 17(14), 6635; https://doi.org/10.3390/su17146635 - 21 Jul 2025
Viewed by 696
Abstract
Per- and polyfluoroalkyl substances (PFAS) have been reported to contaminate soil as a result of improper management of waste, wastewater, landfill leachate, biosolids, and a large and indiscriminate use of aqueous film-forming foams (AFFF), posing potential risks to human health. However, their high [...] Read more.
Per- and polyfluoroalkyl substances (PFAS) have been reported to contaminate soil as a result of improper management of waste, wastewater, landfill leachate, biosolids, and a large and indiscriminate use of aqueous film-forming foams (AFFF), posing potential risks to human health. However, their high chemical and thermal stability pose a great challenge for remediation. As a result, there is an increasing interest in identifying and optimizing very effective and sustainable technologies for PFAS removal. This review summarizes both traditional and innovative remediation strategies and technologies for PFAS-contaminated soils. Unlike existing literature, which primarily focuses on the effectiveness of PFAS remediation, this review critically discusses several techniques (based on PFAS immobilization, mobilization and extraction, and destruction) with a deep focus on their sustainability and scalability. PFAS destruction technologies demonstrate the highest removal efficiencies; however, thermal treatments face sustainability challenges due to high energy demands and potential formation of harmful by-products, while mechanical treatments have rarely been explored at full scale. PFAS immobilization techniques are less costly than destruction methods, but issues related to the regeneration/disposal of spent sorbents should be still addressed and more long-term studies conducted. PFAS mobilization techniques such as soil washing/flushing are hindered by the generation of PFAS-laden wastewater requiring further treatments, while phytoremediation is limited to small- or medium-scale experiments. Finally, bioremediation would be the cheapest and least impactful alternative, though its efficacy remains uncertain and demonstrated under simplified lab-scale conditions. Future research should prioritize pilot- and full-scale studies under realistic conditions, alongside comprehensive assessments of environmental impacts and economic feasibility. Full article
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23 pages, 696 KiB  
Review
Water Reuse—Retrospective Study on Sustainable Future Prospects
by Morteza Abbaszadegan, Absar Alum, Masaaki Kitajima, Takahiro Fujioka, Yasuhiro Matsui, Daisuke Sano and Hiroyuki Katayama
Water 2025, 17(6), 789; https://doi.org/10.3390/w17060789 - 10 Mar 2025
Cited by 1 | Viewed by 2544
Abstract
In recent decades, societies and economies across the globe have started to show signs of stress associated with water shortages. Meeting the sustainability benchmarks in arid and semi-arid regions has caused water reuse to be considered a viable alternate source to augment the [...] Read more.
In recent decades, societies and economies across the globe have started to show signs of stress associated with water shortages. Meeting the sustainability benchmarks in arid and semi-arid regions has caused water reuse to be considered a viable alternate source to augment the existing water supply resources. Water reuse, resource recovery, and recycling are extensions of the concept of a circular economy that has been practiced in other fields. Globally, the U.S. has played a leadership role in the development of guidance and regulations for various water reuse applications. Other countries and organizations have also developed similar programs. This paper aims to propose a review of the existing literature and provide a broader perspective of water reuse focusing on the most pressing issues such as direct potable reuse with the backdrop of viral pathogens and perfluorinated compounds. The global history of statutory developments to regulate the selected contaminants has also been discussed by covering the recent advancement in water reuse applications. Technological developments and regulatory trends are chronicled in the context of emerging contaminants linked with an imminent social, industrial, and agricultural prospectus. The proposed high viral log removal credit for water reuse is a challenging task especially at regular intervals; therefore, the treatment requirements must be verified to ensure public safety. The extreme persistence of PFAS, their tendency for buildup in biotic systems, and their removal is another challenging task which requires development of cost effective and efficient technologies. Disparity in the financial and technological capabilities of regional or internal stakeholders of shared watershed or aquifer is a bottleneck in tangible advancements in this area. The role of public–private partnerships in addressing the impending water sustainability challenges is discussed as a model for future direction in funding, managing, and public acceptance. Full article
(This article belongs to the Section Wastewater Treatment and Reuse)
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26 pages, 3187 KiB  
Perspective
Sustainable Management of Poly- and Perfluoroalkyl Substances (PFASs)-Contaminated Areas: Tackling a Wicked Environmental Problem
by Giancarlo Renella, Paolo Carletti and Antonio Masi
Sustainability 2025, 17(2), 510; https://doi.org/10.3390/su17020510 - 10 Jan 2025
Cited by 1 | Viewed by 1936
Abstract
This study evaluates the reasons and factors making soil pollution by poly- and perfluoroalkyl substances (PFASs) a wicked problem, reflecting upon the nature, persistence, mobility, and bioaccumulative properties of these compounds. The current regulation trends in the production and use of such substances [...] Read more.
This study evaluates the reasons and factors making soil pollution by poly- and perfluoroalkyl substances (PFASs) a wicked problem, reflecting upon the nature, persistence, mobility, and bioaccumulative properties of these compounds. The current regulation trends in the production and use of such substances are also explored. This study highlights the conflict between the need for phasing out the use of PFASs and their indispensable role in many strategic applications. We summarize the knowledge on the complex chemical properties and to the highly variable properties of the soils, mechanisms of partitioning and transport of PFASs in soil, and the exposure pathways to humans. In particular, we focus on the mechanisms that lead to PFAS accumulation in the edible parts of cultivated plants and present some potential sustainable management practices that could result in risk mitigation and environmental remediation actions. We present potential management practices stemming from the merging of theoretical considerations and pragmatic approaches for mitigating the problems related to the PFAS pollution of agricultural soils. We also highlight the importance of co-creation processes for the adoption of solutions for vast polluted areas that make the impacted populations discouraged, like being in front of an ‘untameable beast’, leading to protests and irrational behavior. In our opinion, this might engage the impacted population in more optimistic strategies to tackle this problem, soliciting authorities and stakeholders to implement strategies beyond the actual management practice and also supporting new policy development. Full article
(This article belongs to the Section Environmental Sustainability and Applications)
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14 pages, 1790 KiB  
Article
Contamination Profiles of Selected Pollutants in Procambarus clarkii Non-Edible Portions Highlight Their Potential Exploitation Applications
by Dario Savoca, Mirella Vazzana, Vincenzo Arizza, Antonella Maccotta, Santino Orecchio, Francesco Longo, Vittoria Giudice, Gaetano D’Oca, Salvatore Messina, Federico Marrone and Manuela Mauro
J. Xenobiot. 2024, 14(3), 893-906; https://doi.org/10.3390/jox14030049 - 6 Jul 2024
Cited by 5 | Viewed by 1915
Abstract
Properly managing aquatic organisms is crucial, including protecting endemic species and controlling invasive species. From a circular economy perspective, the sustainable use of aquatic species as a source of bioactive molecules is an area that is increasingly being explored. This includes the use [...] Read more.
Properly managing aquatic organisms is crucial, including protecting endemic species and controlling invasive species. From a circular economy perspective, the sustainable use of aquatic species as a source of bioactive molecules is an area that is increasingly being explored. This includes the use of non-edible portions of seafood, which could pose considerable risks to the environment due to current methods of disposal. Therefore, it is of paramount importance to ensure that the exploitation of these resources does not result in the transfer of pollutants to the final product. This study analyzed two types of non-edible parts from the crayfish Procambarus clarkii: the abdominal portion of the exoskeleton (AbE) and the whole exoskeleton (WE), including the cephalothorax. These portions could potentially be utilized in the context of eradication activities regulated by local authorities. A screening analysis of four classes of pollutants, including pesticides, per- and polyfluoroalkyl substances (PFAS), phthalic acid esters (PAEs), and trace elements (TEs), was performed. The only analytes detected were TEs, and significant differences in the contamination profile were found between AbE and WE. Nevertheless, the levels recorded were comparable to or lower than those reported in the literature and below the maximum levels allowed in the current European legislation for food, suggesting that their potential use is legally permitted. In terms of scalability, the utilization of the entire non-edible P. clarkii portion would represent a sustainable solution for the reuse of waste products. Full article
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21 pages, 661 KiB  
Review
Challenges and Remediation Strategies for Per- and Polyfluoroalkyl Substances (PFAS) Contamination in Composting
by Sali Khair Biek, Leadin S. Khudur and Andrew S. Ball
Sustainability 2024, 16(11), 4745; https://doi.org/10.3390/su16114745 - 2 Jun 2024
Cited by 5 | Viewed by 3881
Abstract
Municipal solid waste (MSW) is projected to rise to 3.4 billion tonnes by 2050, with only 33% undergoing environmentally friendly management practices. Achieving a circular economy involves sustainable approaches, among which diverting waste from landfills to composting plays a crucial role. However, many [...] Read more.
Municipal solid waste (MSW) is projected to rise to 3.4 billion tonnes by 2050, with only 33% undergoing environmentally friendly management practices. Achieving a circular economy involves sustainable approaches, among which diverting waste from landfills to composting plays a crucial role. However, many of the products society uses and discards in MSW daily contain per- and polyfluoroalkyl substances (PFAS), raising concerns that composts may inadvertently introduce PFAS into the environment, posing a significant challenge to waste management and environmental sustainability. PFAS have been detected in compost at concentrations ranging between 1.26–11.84 µg/kg. Composts are therefore a source of PFAS contamination, posing risks to human and ecosystem health. Impactful technologies are therefore required for PFAS remediation during the composting process. This review examines the composting process as a sustainable organic waste management technology, examining the various systems employed, compost quality, and uses, particularly emphasising the challenge posed by PFAS contamination. The review provides novel insights into possible PFAS remediation technologies. A comprehensive understanding of PFAS origin, fate, and transformation during the composting process is lacking, creating substantial knowledge gaps regarding the inputs processes contributing most to PFAS accumulation in the final product. Addressing these gaps in future studies is crucial for minimising PFAS discharge into the environment and developing an effective remediation approach. This review highlights the urgent need for innovative solutions to mitigate PFAS contamination in compost and the importance of advancing research and technology to achieve sustainable waste management objectives. Full article
(This article belongs to the Section Waste and Recycling)
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22 pages, 330 KiB  
Review
Pulsed Field Energy in Atrial Fibrillation Ablation: From Physical Principles to Clinical Applications
by Nicola Pierucci, Marco Valerio Mariani, Domenico Laviola, Giacomo Silvetti, Pietro Cipollone, Antonio Vernile, Sara Trivigno, Vincenzo Mirco La Fazia, Agostino Piro, Fabio Miraldi, Carmine Dario Vizza and Carlo Lavalle
J. Clin. Med. 2024, 13(10), 2980; https://doi.org/10.3390/jcm13102980 - 18 May 2024
Cited by 10 | Viewed by 4515
Abstract
Atrial fibrillation, representing the most prevalent sustained cardiac arrhythmia, significantly impacts stroke risk and cardiovascular mortality. Historically managed with antiarrhythmic drugs with limited efficacy, and more recently, catheter ablation, the interventional approach field is still evolving with technological advances. This review highlights pulsed [...] Read more.
Atrial fibrillation, representing the most prevalent sustained cardiac arrhythmia, significantly impacts stroke risk and cardiovascular mortality. Historically managed with antiarrhythmic drugs with limited efficacy, and more recently, catheter ablation, the interventional approach field is still evolving with technological advances. This review highlights pulsed field ablation (PFA), a revolutionary technique gaining prominence in interventional electrophysiology because of its efficacy and safety. PFA employs non-thermal electric fields to create irreversible electroporation, disrupting cell membranes selectively within myocardial tissue, thus preventing the non-selective damage associated with traditional thermal ablation methods like radiofrequency or cryoablation. Clinical studies have consistently shown PFA’s ability to achieve pulmonary vein isolation—a cornerstone of AF treatment—rapidly and with minimal complications. Notably, PFA reduces procedure times and has shown a lower incidence of esophageal and phrenic nerve damage, two common concerns with thermal techniques. Emerging from oncological applications, the principles of electroporation provide a unique tissue-selective ablation method that minimizes collateral damage. This review synthesizes findings from foundational animal studies through to recent clinical trials, such as the MANIFEST-PF and ADVENT trials, demonstrating PFA’s effectiveness and safety. Future perspectives point towards expanding indications and refinement of techniques that promise to improve AF management outcomes further. PFA represents a paradigm shift in AF ablation, offering a safer, faster, and equally effective alternative to conventional methods. This synthesis of its development and clinical application outlines its potential to become the new standard in AF treatment protocols. Full article
(This article belongs to the Special Issue Advances in Cardiac Electrophysiology and Pacing: Part II)
25 pages, 7019 KiB  
Review
The Removal of Per- and Poly-Fluoroalkyl Substances from Water: A Review on Destructive and Non-Destructive Methods
by Natalia Malouchi, Stella Chatzimichailidou, Athanasia K. Tolkou, George Z. Kyzas, Loris Calgaro, Antonio Marcomini and Ioannis A. Katsoyiannis
Separations 2024, 11(4), 122; https://doi.org/10.3390/separations11040122 - 18 Apr 2024
Cited by 8 | Viewed by 6768
Abstract
PFAS, or per- and poly-fluoroalkyl substances, are a broad group of man-made organic compounds that are very persistent, mobile, and tend to bioaccumulate. Their removal from different environmental media is becoming increasingly important because they are associated with a multitude of (eco)toxicological effects [...] Read more.
PFAS, or per- and poly-fluoroalkyl substances, are a broad group of man-made organic compounds that are very persistent, mobile, and tend to bioaccumulate. Their removal from different environmental media is becoming increasingly important because they are associated with a multitude of (eco)toxicological effects on both humans and the environment. PFAS are detected in wastewater, groundwater, drinking water, and surface water, with the subcategories of PFOS and PFOA being the most detected. These organic compounds are divided into polymeric and non-polymeric groups. Non-polymeric PFAS are of great research interest due to their frequent detection in the environment. Numerous methods have been applied for the removal of PFAS and are divided into destructive and non-destructive (separation) techniques. Given the strength of the C–F bond, the destruction of PFAS is challenging, while for most of the separation techniques, the management of isolated PFAS requires further consideration. Most of the techniques have been applied to small-scale applications and show some limitations for larger applications, even though they are promising. Adsorption is an environmentally sustainable, economical, and high-performance technique that is applied to remove several classes of emerging pollutants from water. In this review, the use of various types of adsorbents for PFAS removal from water is reported, as well as the expected adsorption mechanisms. There are several technologies being considered and developed to manage PFAS; however, they are still in the experimental stage, with each showing its appeal for potential larger applications. Full article
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20 pages, 8445 KiB  
Article
Sustainability Assessment of the End-of-Life Technologies for Biocomposite Waste in the Aviation Industry
by Špela Ferjan, Milkica Jovičić, Nora Lardiés Miazza, Tom Ligthart, Clare Harvey, Sergio Fita, Rajesh Mehta and Pouya Samani
Polymers 2023, 15(12), 2689; https://doi.org/10.3390/polym15122689 - 15 Jun 2023
Cited by 9 | Viewed by 2571
Abstract
Biocomposites have emerged as promising alternative materials for the aviation industry. However, there is a limited body of scientific literature addressing the end-of-life management of biocomposites. This article evaluated different end-of-life technologies for biocomposite recycling in a structured, five-step approach applying the innovation [...] Read more.
Biocomposites have emerged as promising alternative materials for the aviation industry. However, there is a limited body of scientific literature addressing the end-of-life management of biocomposites. This article evaluated different end-of-life technologies for biocomposite recycling in a structured, five-step approach applying the innovation funnel principle. First, ten end-of-life (EoL) technologies were compared in terms of their circularity potential and technology readiness levels (TRL). Second, a multi-criteria decision analysis (MCDA) was carried out to find out the top four most promising technologies. Afterwards, experimental tests were conducted at a laboratory scale to evaluate the top three technologies for recycling biocomposites by analysing (1) three types of fibres (basalt, flax, carbon) and (2) two types of resins (bioepoxy and Polyfurfuryl Alcohol (PFA) resins). Subsequently, further experimental tests were performed to identify the top two recycling technologies for the EoL treatment of biocomposite waste from the aviation industry. Finally, the sustainability and economic performance of the top two identified EoL recycling technologies were evaluated through life cycle assessment (LCA) and techno-economic analysis (TEA). The experimental results, performed via the LCA and TEA assessments, demonstrated that both solvolysis and pyrolysis are technically, economically, and environmentally viable options for the EoL treatment of biocomposite waste from the aviation industry. Full article
(This article belongs to the Special Issue Development in Fiber-Reinforced Polymer Composites)
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11 pages, 613 KiB  
Article
Cleaning up Forever Chemicals in Construction: Informing Industry Change
by Kurt Chamberlain, Bethanie Storey, Jayden Brown, Scott Rayburg, John Rodwell and Melissa Neave
Sustainability 2022, 14(5), 2854; https://doi.org/10.3390/su14052854 - 1 Mar 2022
Cited by 4 | Viewed by 4343
Abstract
Per- and polyfluorinated alkyl substance (PFAS) contamination has been found in the construction spoil of many major projects, and there is growing concern about the health and environmental implications of these “forever” chemicals. In a context where construction and tunneling have experienced substantial [...] Read more.
Per- and polyfluorinated alkyl substance (PFAS) contamination has been found in the construction spoil of many major projects, and there is growing concern about the health and environmental implications of these “forever” chemicals. In a context where construction and tunneling have experienced substantial growth, Australia and other countries are still developing their PFAS management. This study used convergent interviews to surface the key common issues that are associated with the management of PFAS contamination in the construction industry. The construction industry appears stuck in their ways and extremely financially driven. Regulation is not working because of poor enforcement and policing from the Environmental Protection Agency (EPA). The EPA could look to employ individuals with more construction industry experience in order to become a strong regulator in the industry, as well as to streamlining decision-making processes, while maintaining quality. To speed up changes in the management of PFASs within the construction industry, large organizations could be targeted by the relevant sustainability rating scheme, and there could be further use of the alliance models to research, develop, and implement PFAS treatment methods. Full article
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16 pages, 3723 KiB  
Article
Adherence to Psychological First Aid after Exposure to a Traumatic Event at Work among EMS Workers: A Qualitative Study
by Marine Tessier, Josianne Lamothe and Steve Geoffrion
Int. J. Environ. Res. Public Health 2021, 18(21), 11026; https://doi.org/10.3390/ijerph182111026 - 20 Oct 2021
Cited by 7 | Viewed by 4592
Abstract
Managing post-traumatic stress reactions in the first few days after exposure to a potentially traumatic event in the course of one’s work remains a challenge for first responder organizations such as Emergency Medical Services (EMS). Psychological First Aid (PFA) is an evidence-informed approach [...] Read more.
Managing post-traumatic stress reactions in the first few days after exposure to a potentially traumatic event in the course of one’s work remains a challenge for first responder organizations such as Emergency Medical Services (EMS). Psychological First Aid (PFA) is an evidence-informed approach to reducing initial distress and promoting short- and long-term coping strategies among staff in the aftermath of exposure. PFA provided by peer helpers is considered a promising solution for first responder organizations. Unfortunately, first responders may encounter stigma and barriers to mental health care. Therefore, a deeper investigation is needed regarding adherence over time to implemented PFA intervention. The purpose of this study is to qualitatively explore factors that influence adherence to PFA intervention of recipients and peer helpers. EMS workers (n = 11), working as PFA peer helpers for one year, participated in semi-structured interviews. Data were analyzed using thematic analysis; intercoder reliability (κ = 0.91) was also used. Researchers identified four themes and 11 subthemes influencing adherence to PFA intervention: (1) individual perceptions and attitudes of peer helpers and recipients about pfa intervention; (2) perceived impacts on peer helpers and recipients; (3) organizational support to pfa intervention; and (4) congruence with the occupational culture. Study findings herein suggest that it is conceivable to act on various factors to improve adherence to PFA intervention among peer helpers and recipients within EMS organization. This could lead to enhanced understanding of the challenges involved in sustaining a peer led PFA program for first responders. Full article
(This article belongs to the Special Issue Interventions after Traumatic Events)
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16 pages, 987 KiB  
Review
Cinnamon: A Natural Feed Additive for Poultry Health and Production—A Review
by Akhtar Ali, Eric N. Ponnampalam, Gamini Pushpakumara, Jeremy J. Cottrell, Hafiz A. R. Suleria and Frank R. Dunshea
Animals 2021, 11(7), 2026; https://doi.org/10.3390/ani11072026 - 7 Jul 2021
Cited by 92 | Viewed by 18133
Abstract
The increased bacterial resistance to synthetic antibiotics and consumer awareness about the health and food safety concerns have triggered the ban on the use of antibiotic growth promotors (AGPs) in the poultry industry. This situation encouraged the poultry sector and industry to explore [...] Read more.
The increased bacterial resistance to synthetic antibiotics and consumer awareness about the health and food safety concerns have triggered the ban on the use of antibiotic growth promotors (AGPs) in the poultry industry. This situation encouraged the poultry sector and industry to explore safe alternatives to AGPs and focus on developing more sustainable feed management strategies to improve the intestinal health and growth performance of poultry. Consequently, phytogenic feed additives (PFAs) have emerged as natural alternatives to AGPs and have great potential in the poultry industry. In recent years, cinnamon (one of the most widely used spices) has attracted attention from researchers as a natural product with numerous health benefits for poultry. The essential oils in cinnamon, in particular, are of interest because of their antioxidant, anti-microbial, anti-inflammatory, antifungal, and hypocholesterolaemic effects, in addition to their ability to stimulate digestive enzymes in the gut. This review mainly emphasizes the potential impact of cinnamon as a natural feed additive on overall gut health, nutrient digestibility, blood biochemical profile, gene expression, gut microbiota and immune response. Full article
(This article belongs to the Special Issue The Role of Gut Microbiome and Nutrition in Poultry Health)
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15 pages, 350 KiB  
Article
Mitigating the Psychological Impact of COVID-19 on Healthcare Workers: A Digital Learning Package
by Holly Blake, Fiona Bermingham, Graham Johnson and Andrew Tabner
Int. J. Environ. Res. Public Health 2020, 17(9), 2997; https://doi.org/10.3390/ijerph17092997 - 26 Apr 2020
Cited by 428 | Viewed by 53126
Abstract
The coronavirus pandemic (COVID-19) will undoubtedly have psychological impacts for healthcare workers, which could be sustained; frontline workers will be particularly at risk. Actions are needed to mitigate the impacts of COVID-19 on mental health by protecting and promoting the psychological wellbeing of [...] Read more.
The coronavirus pandemic (COVID-19) will undoubtedly have psychological impacts for healthcare workers, which could be sustained; frontline workers will be particularly at risk. Actions are needed to mitigate the impacts of COVID-19 on mental health by protecting and promoting the psychological wellbeing of healthcare workers during and after the outbreak. We developed and evaluated a digital learning package using Agile methodology within the first three weeks of UK outbreak. This e-package includes evidence-based guidance, support and signposting relating to psychological wellbeing for all UK healthcare employees. A three-step rapid development process included public involvement activities (PPIs) (STEP 1), content and technical development with iterative peer review (STEP 2), and delivery and evaluation (STEP 3). The package outlines the actions that team leaders can take to provide psychologically safe spaces for staff, together with guidance on communication and reducing social stigma, peer and family support, signposting others through psychological first aid (PFA), self-care strategies (e.g., rest, work breaks, sleep, shift work, fatigue, healthy lifestyle behaviours), and managing emotions (e.g., moral injury, coping, guilt, grief, fear, anxiety, depression, preventing burnout and psychological trauma). The e-package includes advice from experts in mental wellbeing as well as those with direct pandemic experiences from the frontline, as well as signposting to public mental health guidance. Rapid delivery in STEP 3 was achieved via direct emails through professional networks and social media. Evaluation included assessment of fidelity and implementation qualities. Essential content was identified through PPIs (n = 97) and peer review (n = 10) in STEPS 1 and 2. The most important messages to convey were deemed to be normalisation of psychological responses during a crisis, and encouragement of self-care and help-seeking behaviour. Within 7 days of completion, the package had been accessed 17,633 times, and healthcare providers had confirmed immediate adoption within their health and wellbeing provisions. Evaluation (STEP 3, n = 55) indicated high user satisfaction with content, usability and utility. Assessment of implementation qualities indicated that the package was perceived to be usable, practical, low cost and low burden. Our digital support package on ‘psychological wellbeing for healthcare workers’ is free to use, has been positively evaluated and was highly accessed within one week of release. It is available here: Supplementary Materials. This package was deemed to be appropriate, meaningful and useful for the needs of UK healthcare workers. We recommend provision of this e-package to healthcare workers alongside wider strategies to support their psychological wellbeing during and after the COVID-19 pandemic. Full article
(This article belongs to the Special Issue Workplace Health and Wellbeing 2020)
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