Overview the physician and the patient come into close contact during treatments with botulinum toxin, increasing the chances of infection with the SARS-CoV-2 virus. What do we need to do to make the treatment safe and reduce the risk of contagion? Botulinum toxin infiltration procedure Instructions for the Patient Wear non-sterile gloves and a surgical mask, and do not touch handles, surfaces or other objects. Dress and undress in the appointed place Instructions for the physician/paramedical staff Remove all jewelry and personal items, Wash hands for 20'', Put on PPE Physicians and nurses must put on a first pair of gloves, shoe covers, a cap, a disposable gown, an FFP2 mask, and protective glasses or a face mask and, lastly, a second pair of gloves. After treating each Patient the physician must remove the second pair of gloves, the disposable gown, and the protective glasses or face mask and sanitize them all. Lastly, he or she may remove the first pair of gloves. If the treatment takes place in the vicinity of the oral cavity, head or neck, the FFP2 mask must also be replaced. Medical Workers must clean all surfaces with which the Patient has been in contact at the end of each treatment session and, cover the most exposed surfaces with disposable barriers. As a final recommendation, the premises should be ventilated frequently. Summary when these instructions are properly followed, they make the botulinum toxin infiltration procedure safe for the patient and the medical staff.
In the original article, Gina Ferrazzano was affiliated to Department of Neurology and Psychiatry, Neuromed Institute IRCCS, Sapienza University of Rome, Pozzilli, Italy. The corrected affiliation should be: Neuromed Institute IRCCS, Pozzilli, IS, Italy.
Air Force radar controllers represent an excellent example of night shift workers, as they are obliged to demonstrate perfect alertness during working hours. We set out: a) to assess the quality of life in these shift workers; b) to identify those with shift work syndrome and c) to evaluate the possible effects of triazolam both on their quality of life and sleep. The results reveal an impairment of the quality of life in shift workers, independently of the presence of a circadian rhythm sleep disorder. Quality of life was more severely impaired in subjects with circadian rhythm sleep disorder. Hypnotic therapy brought about an improvement both in the sleep disorder and in the quality of life of subjects affected by shift work syndrome. Selective alertness tests failed to demonstrate any "sedative carry-over" in the treated patients.