scholarly journals Taxonomy of Surgical Delay Related to Sterile Processing and Domino Effect

2019 ◽  
Vol 8 (1) ◽  
pp. 291-295
Author(s):  
Kimberly A. LaForge ◽  
Helen J. A. Fuller ◽  
Timothy Arnold ◽  
Kristin Chrouser ◽  
William Gunnar
Keyword(s):  
Operating Room ◽  
Medical Equipment ◽  
Domino Effect ◽  
Staff Time ◽  
Surgical Delay ◽  
Wide Range ◽  
Competing Demands ◽  
Instructions For Use ◽  
Sterile Processing ◽  
Work Done

Successful surgery does not just depend on the skills and knowledge of those in the operating room but also on the staff that insure the needed instrumentation is available and sterile. The process that continuously provides reusable medical equipment (RME) to the Operating Room (OR) requires highly specialized expertise over a wide range of instrumentation. The reprocessing team must be familiar with instructions for use (IFU), and how to apply them to process every piece of RME from surgeries, endoscopies, and clinic procedures. Coupled with the limitations of staff, time, and resources and with competing demands to produce sterile instruments and environments that work in almost total isolation from each other, there are several gaps in the process that must be identified and bridged. While the workflow for moving between the Sterile Processing Department (SPD) and the OR is sometimes thought as a fairly simple circular flowchart, the realities of work done versus work imagined are vastly different. In addition, these challenges vary considerably across different departments, even in a single healthcare system, and as such there are no simple solutions. Understanding the demands on the SPD, the needs in the OR for sterile RME, and the patient safety concerns that drive this cycle are critical if we are to improve the process.

scholarly journals Jet-gas interactions at crucial jet power for feedback

2014 ◽  
Vol 10 (S313) ◽  
pp. 260-265
Author(s):  
D. M. Worrall ◽  
M. Birkinshaw
Keyword(s):  
Gas Flows ◽  
Rich Cluster ◽  
Power Sources ◽  
X Ray ◽  
Wide Range ◽  
Higher Power ◽  
Radiative Power ◽  
Gas Interactions ◽  
Work Done ◽  
Radio Luminosity Function

AbstractMost X-ray studies of radio-mode feedback have concentrated on locally-abundant low-power radio sources in relatively rich cluster environments. But the scaling found between mechanical and radiative power, when combined with the radio luminosity function, means that half of the heating in the local Universe is expected from higher-power sources, which lie within a factor of about three of the FRI/II transition, and these sources encounter a wide range of atmosphere properties. We summarize what is observed at FRI/II transition powers from a complete sample observed with modest Chandra exposure times. We then discuss two systems with deep Chandra data. In one we find that the work done in driving shocks exceeds that in evacuating cavities. This source also displays a remarkable jet-cloud interaction, and revealing hotspot X-ray emission. In the second we find evidence of radio-emitting plasma running along boundaries between gas of different temperature, apparently lubricating the gas flows and inhibiting heat transfer, and itself being heavily structured by the process.

scholarly journals Processes and Procedures for Data Publication: A Case Study in the Geosciences

2013 ◽  
Vol 8 (1) ◽  
pp. 193-203 ◽  
Author(s):  
Sarah Callaghan ◽  
Fiona Murphy ◽  
Jonathan Tedds ◽  
Rob Allan ◽  
John Kunze ◽  
...  
Keyword(s):  
Earth Sciences ◽  
Research Data ◽  
Academic Publishing ◽  
Data Repository ◽  
Data Publication ◽  
The Earth ◽  
Policies And Procedures ◽  
Wide Range ◽  
Key Issues ◽  
Work Done

The Peer REview for Publication and Accreditation of Research Data in the Earth sciences (PREPARDE) project is a JISC and NERC funded project which aims to investigate the policies and procedures required for the formal publication of research data, ranging from ingestion into a data repository, through to formal publication in a data journal. It also addresses key issues arising in the data publication paradigm, including, but not limited to, issues related to how one peer reviews a dataset, what criteria are needed for a repository to be considered objectively trustworthy, and how datasets and journal publications can be effectively cross-linked for the benefit of the wider research community. PREPARDE brings together a wide range of experts in the research, academic publishing and data management fields both within the Earth Sciences and in the broader life sciences with the aim of producing general guidelines applicable to a wide range of scientific disciplines and data publication types. This paper provides details of the work done in the first half of the project; the project itself will be completed in June 2013.

scholarly journals Experience with the use of microbiological analyzer BactoSCREEN in a routine practice of clinical microbiology laboratory

2020 ◽  
pp. 221-230
Author(s):  
Svetlana A. Gordeeva ◽  
A.Yu. Zolotarev ◽  
M.G. Movsisyan ◽  
A.V. Rozinko
Keyword(s):  
Species Identification ◽  
Clinical Microbiology ◽  
Objective Assessment ◽  
Maldi Ms ◽  
Routine Practice ◽  
Clinical Microbiology Laboratory ◽  
Full Time ◽  
Microbiology Laboratory ◽  
Staff Time ◽  
Wide Range

Objective. Assessment of bacterial identification effectiveness in clinical microbiology laboratory using the MALDI-MS based system BactoSCREEN. Materials and Methods. Bacteriological testing was done by the cultivation on Сolumbia agar with 5% of sheep blood (at 37°C for 24 hours). Colonies for identification were selected based on their growth pattern, type of hemolysis, morphology and consistency. The species identification was done by the MALDI-MS using the microbiology analyzer BactoSCREEN. Apart from MALDI-MS, we used morphology and biochemical methods for species identification when necessary. Serological tests were used for serovar and biovar identifications. Results. A total of 85945 bacterial identifications was performed in 2018. When compared to 2017, the throughput of the laboratory increased ten times. A total of 23252 isolates were obtained in the previously mentioned period. A single identification took 2.98–13.22 minutes including time for supporting procedures, whereas the staff time for one identification itself constituted an average of 1.55 minutes. When compared to manual methods, introduction of mass-spectrometry allowed us to achieve 3.5-fold decrease of the staff time in the average. Therefore, annual labor saving in terms of staffing corresponds to 11 full-time positions. Conclusions. In view of high throughput, analysis speed, simplicity and low cost of sample preparation, MALDI-MS identification fits well into the practice of clinical microbiology laboratory, especially when large-scale screening studies of bacterial cultures are required. The use of MALDI-MS is likely to be most promising when carrying out microbiological monitoring that is traditionally associated with large number of samples and wide range of microorganisms detected.

scholarly journals Digital Literacy

2020 ◽  
Vol 11 (2) ◽  
pp. 65-94 ◽  
Author(s):  
Pritika Reddy ◽  
Bibhya Sharma ◽  
Kaylash Chaudhary
Keyword(s):  
Information And Communication Technologies ◽  
21St Century ◽  
Digital Literacy ◽  
Transportation Economics ◽  
Daily Lives ◽  
Wide Range ◽  
Information And Communication ◽  
Development Goals ◽  
Work Done ◽  
The Impact

Information and communication technologies (ICT) along with the internet have fueled advancements and growth in banking, transportation, economics, and most of all in education in the 21st century. The 21st century citizens are provided with new opportunities that have been created with the advancement of ICT. Hence, individuals need a wide range of abilities, competencies, and skills to adapt to the technological era. This paper provides a literature review of the growing importance of ICT, its wide array of usage, and its influence on various facets of people's daily lives. In addition, the emerging concept of digital literacy through ICT developments, contribution of digital literacy towards the achievement of sustainable development goals, contribution of ICT towards the development of various sectors particularly the education sector, and the work done in this area of digital literacy are summarised. The paper concludes with three new models of digital literacy: four gear model, model for flexible learning, and a model showing the impact of ICT on the learning process.

Nonspecific Chlorination of Organics: a Chemistry Unique to Human Industry? (Putting Kraft Mill AOX Emissions into Perspective)

1998 ◽  
Vol 33 (3) ◽  
pp. 347-362
Author(s):  
Frederick Archibald ◽  
Loredana Valeanu ◽  
Gunther Leichtle ◽  
Benoit Guilbault
Keyword(s):  
Hypochlorous Acid ◽  
Higher Plants ◽  
Chloride Ions ◽  
Soil Extracts ◽  
Wide Range ◽  
Mammalian Blood ◽  
Kraft Mill ◽  
Natural Result ◽  
Living Organisms ◽  
Work Done

Abstract To counter the claim that all biotreated organochlorine (AOX) emissions from modern kraft mills are unnatural and inherently hazardous, it has been argued that over 2400 different AOX compounds are now known to be produced by living organisms. This is an invalid rationale. These 2400 natural compounds are mostly specific halometabolites — each is produced as a large number of identical molecules by a specific enzyme-mediated mechanism. In contrast, in a kraft mill bleachery, heterogeneous wood derivatives are non-specifically chlorinated by hypochlorous acid (HOCl) or hypochlorite ion (OCl-) to produce mixtures containing hundreds of different AOX species. It is therefore much more reasonable to compare mill-derived AOX to other human and natural sources of OCl-/HOCl-generated non-specific AOX. Chloroperoxidase (CPO)-type enzymes naturally produce HOCl and OCl-from common chloride ions and hydrogen peroxide (H2O2). They have now been demonstrated in bacteria, fungi, algae, lichens, higher plants and animals. We demonstrate that a common fungal CPO can, when applied to soil extracts, lignins, cellulosics, tannins and natural lake water organics, rapidly generate nonspecific AOX. In agreement with earlier work done in other geographic areas, AOX was found in all of a wide range of samples from the Montreal region, both from urban and relatively remote pristine lakes and woodlands. Much of it is almost certainly produced via nonspecific HOCl/OCl- chlorination. Finally, we demonstrate that nonspecific AOX is produced by a CPO in mammalian blood as the natural result of the body's immune system fighting infections. Thus, HOCl/OCl- based production of AOX from mixtures of organic molecules is seen to be a common occurrence in nature as well as a product of human technology.

scholarly journals Anesthesia outside the Operating Room in a Patient with Mitochondrial Disease

2020 ◽  
Vol 2020 ◽  
pp. 1-3
Author(s):  
Alejandra Fadrique-Fuentes ◽  
Beatriz Martínez-Rafael ◽  
Rodrigo Poves-Álvarez ◽  
Estefanía Gómez-Pesquera
Keyword(s):  
Mitochondrial Dysfunction ◽  
Operating Room ◽  
Mitochondrial Disease ◽  
Genetic Disorders ◽  
Metabolic Balance ◽  
Anesthetic Agents ◽  
Wide Range

Mitochondrial dysfunction comprehends a wide range of genetic disorders. These patients’ precarious metabolic balance makes its management difficult. Furthermore, the same systems affected by mitochondrial disease can be altered by many of the frequently used anesthetic agents. Each patient has to be evaluated individually according to their comorbidities and anesthetic requirements.

Confluence of Building Information for Design, Construction and Management of Buildings

2005 ◽  
Vol 3 (3) ◽  
pp. 373-389 ◽  
Author(s):  
Filiz Ozel
Keyword(s):  
Considerable Increase ◽  
Building Industry ◽  
Seamless Integration ◽  
Intelligent Buildings ◽  
Wide Range ◽  
Building Information ◽  
Structural Engineers ◽  
Work Done ◽  
Asset Managers ◽  
Design Construction

Professionals who are involved in design, construction and occupancy phases of a building not only generate information that must eventually be used by other building professionals, but also they themselves must use data and information provided by others such as product manufacturers, planning departments, etc. The integration of information and data through all phases of the life cycle of a building is important as it impacts the work done by a large number of constituents in the building industry. Seamless integration of such information has been a bigger concern for those who are downstream users of the data generated by the architect as he/she designs a building. Such downstream users can range from structural engineers to construction managers, from facility managers to building asset managers. More recently, the considerable increase in the design and operation of intelligent buildings that incorporate a very wide range of technologies has rendered this coordination more important than ever.

scholarly journals Symptom Dimensions and Clinical Presentations in Obsessive Compulsive Disorder

2016 ◽  
Vol 3 (4) ◽  
Author(s):  
Hemant Kumar
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Current Understanding ◽  
Important Work ◽  
Obsessive Compulsive ◽  
Symptom Dimensions ◽  
Compulsive Disorder ◽  
Clinical Presentations ◽  
Wide Range ◽  
Work Done

In Obsessive compulsive disorder (OCD) a wide range of symptoms are seen, along with different responses to treatment, this has pointed to the direction that OCD is more heterogeneous than thought before and clinically different subtypes of OCD exist. This article presents a wide variety of symptoms dimension seen in OCD with many pioneering and important work done in this area. The different clinical presentations of patients with OCD have also been seen. The heterogeneity and the vastness of the symptoms of this disorder could lead to new breakthroughs and pathways in our current understanding of OCD.

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