{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T15:44:43Z","timestamp":1791474283130,"version":"4.3.4"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,1]]},"abstract":"Abstract<\/jats:title>\n \n Background:<\/jats:title>\n During the COVID-19 pandemic, healthcare professionals took various protective measures including personal protective equipment (PPE) such as masks, eyewear, and protective jumpsuits. These protective devices may pose certain health hazards, such as headaches.<\/jats:p>\n <\/jats:sec>\n \n Objectives:<\/jats:title>\n \n This study aims to find out the association between new-onset headaches (\n de novo<\/jats:italic>\n ) or exacerbation of preexisting headaches in military healthcare professionals using PPE.\n <\/jats:p>\n <\/jats:sec>\n \n Materials and Methods:<\/jats:title>\n A total of 209 healthcare professionals participated in this cross-sectional observational study. Data were collected on headaches before and after using PPE through a self-administered questionnaire.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n Most participants were young with a mean age of 26.7 \u00b1 5.6 years. The number of male participants was almost twice that of females (64.6%).\n de novo<\/jats:italic>\n headache occurred in 88 participants (47.6%). Previous primary headaches were present in 24 patients, of whom 83.3% experienced exacerbation of primary headaches after using PPE. Doctors and nurses suffered from headaches significantly more than the other healthcare workers (\n P<\/jats:italic>\n < 0.001). N95 mask usage was significantly associated with headaches (\n P<\/jats:italic>\n < 0.001). In addition, the combination of masks, specifically surgical and N95 combination, was also associated with headaches (\n P<\/jats:italic>\n = 0.019 and\n P<\/jats:italic>\n < 0.001, respectively). Use of eye protection, irrespective of type was found to be associated with headaches (\n P<\/jats:italic>\n < 0.05). Additional PPE, such as the protective jumpsuits, was also associated with headaches (\n P<\/jats:italic>\n < 0.001). Our study did not find any significant association between headaches and the duration of hours of usage of masks or protective eyewear (\n P<\/jats:italic>\n > 0.05).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n Masks, eye protective gear, and additional protective gown use are associated with new-onset headaches or exacerbation of previous headaches. These protective devices should be redesigned not compromising safety and to increase comfort and compliance.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/ant.ant_112_0106","type":"journal-article","created":{"date-parts":[[2025,3,30]],"date-time":"2025-03-30T13:02:18Z","timestamp":1743339738000},"page":"13-19","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Personal Protective Equipment and Headaches: A Cross-sectional Study among Healthcare Professionals in A Military Hospital in Bangladesh"],"prefix":"10.4103","volume":"34","author":[{"given":"Muhammad Rezeul","family":"Huq","sequence":"first","affiliation":[{"name":"Department of Neurology, Combined Military Hospital, Dhaka, Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahad Mahmud","family":"Khan","sequence":"additional","affiliation":[{"name":"Projahnmo Research Foundation, Dhaka, Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ghulam","family":"Kawnayn","sequence":"additional","affiliation":[{"name":"Department of Neurology, Combined Military Hospital, Dhaka, Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Md. Musab","family":"Khalil","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Sheikh Russel National Gastroliver Institute and Hospital, Dhaka, Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Md. Ismail","family":"Chowdhury","sequence":"additional","affiliation":[{"name":"Department of Neurology, Combined Military Hospital, Dhaka, Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahin Binte","family":"Anwar","sequence":"additional","affiliation":[{"name":"Department of Radiology, Combined Military Hospital, Dhaka, Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timir Ranjan","family":"Mahanta","sequence":"additional","affiliation":[{"name":"Department of Neurology, Combined Military Hospital, Dhaka, Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,3,28]]},"reference":[{"key":"R1-20250328","doi-asserted-by":"crossref","first-page":"270","DOI":"10.1038\/s41586-020-2012-7","article-title":"Apneumonia outbreak associated with a new coronavirus of probable bat 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