scholarly journals Social stigmatisation among COVID-19 patients: addressing a potential source of COVID-19 transmission to healthcare staff in cardiac emergency and cardiac care units

2020 ◽  
pp. 1-2
Author(s):  
Farhan Ali ◽  
Sheikh Muhammad Ebad Ali
Keyword(s):  
Hospital Staff ◽  
Cardiac Care ◽  
Healthcare Staff ◽  
Root Cause ◽  
Potential Source ◽  
Exponential Increase ◽  
Routine Work ◽  
General Wards ◽  
Cardiac Emergency ◽  
Emergency Doctors

During our routine work, we noticed an increased incidence of COVID-19 diagnoses among patients in the cardiac unit, which led to an exponential increase in COVID-19 cases among hospital staff. We found that patients hid their symptoms from the emergency doctors and attributed those symptoms to cardiac or other causes. Social stigmatisation appeared to be the root cause for hiding their symptoms. Hence, we recommended a strategy to introduce psychological counselling of patients who were suspected to be infected with COVID-19, with a normal cardiac workup to overcome social stigmatisation and save our general wards from COVID-19.

scholarly journals Influence of Nature at the Time of the Pandemic: An Experience-Based Survey at the Time of SARS-CoV-2 to Demonstrate How Even a Short Break in Nature Can Reduce Stress for Healthcare Staff

2021 ◽  
pp. 193758672199111
Author(s):  
Marco Gola ◽  
Monica Botta ◽  
Anna Lisa D’Aniello ◽  
Stefano Capolongo
Keyword(s):  
Scientific Community ◽  
Well Being ◽  
Hospital Staff ◽  
Green Spaces ◽  
Profile Of Mood States ◽  
Evidence Based ◽  
Healthcare Staff ◽  
Daily Lives ◽  
Multidisciplinary Working ◽  
The Moment

Aim: The current COVID-19 pandemic has been causing significant upheavals in the daily lives of citizens and consequently also their mood (stress, distraction, anxiety, etc.), especially during the lockdown phase. The aim of the investigation is to evaluate the benefits of 20–30 minutes in contact with nature. Background: The Scientific Community, also through the evidence-based design approach, has already demonstrated the importance of greenery and nature on the psychophysical well-being of people and, in a moment of emergency, contact with the nature can be therapeutic and quite influential on the mental health of staff subject to stress. Method: During the lockdown, an Italian multidisciplinary working group promoted an experience-based survey, based on the Profile of Mood States methodology, for measuring the psychophysical well-being of hospital staff. Results: The author collected 77 questionnaires. The benefits that users have obtained from the experience in nature have been investigated by comparing the type of stresses they were subjected to and highlighting various peculiarities in the data analysis associated with the type of green in which they carried out the survey, the healthcare areas in which they worked during the pandemic emergency, and the moment in which the survey was conducted. Conclusions: The study has highlighted that a short break in green spaces strongly influenced the mental and psychophysical well-being of hospital staff, emphasizing the importance of nearby green spaces in architectures for health. Even a brief break in nature can regenerate users, especially in times of a stressful health emergency.

scholarly journals Nano Silver Coated Surgical Apparels and Phaco Needles for Safety of Ophthalmic Surgeons in View of COVID-19 Pandemic

2021 ◽  
Vol 15 (1) ◽  
pp. 9-12
Author(s):  
Santosh Dnyanmote ◽  
Jorge Alio ◽  
Anuradha Dnyanmote
Keyword(s):  
Healthcare System ◽  
Healthcare Workers ◽  
Respiratory Virus ◽  
Hospital Staff ◽  
Infected Person ◽  
Source Of Infection ◽  
Potential Source ◽  
Corona Virus ◽  
Co Morbidity ◽  
Recent Outbreak

Background: In view of the recent outbreak of the pandemic caused by novel corona virus 19 (n-covid) which has thrown the overall healthcare system that has created fear, apprehension and anxiety amongst all surgeons. Ophthalmic surgeons are no exceptions. The new corona virus is a respiratory virus of the Coronoviridae family containing a single strand of RNA which spreads primarily through droplets generated when an infected person coughs or sneezes or through droplets of saliva or discharge from the nose. A person can get infected by the virus if the person is within 1 meter of a person with COVID 19 or by touching contaminated surface and then touching eyes, nose or mouth. Methods: Standard recommendations to prevent the spread of COVID-19 include frequent cleaning of hands using alcohol based hand rubs or soap and water. Covering the nose and mouth with a proper mask, covering skin, eyes, hair, hands and legs with proper apparel is important. Just like elderly members of the society, the healthcare workers who have some co-morbidity are susceptible to COVID-19 invasion. Asymptomatic carriers who may present with senile or pre-senile cataract can be a potential source of infection to other patients, hospital staff, surgeons and others. Conclusion: It is important that all the microsurgical instruments which will be used for phacoemulsification be properly sterilized. The surfaces of these instruments should remain free of contaminants as these instruments will be used multiple times in other patients as well.

scholarly journals IMOVE—An Intuitive Concept Mobility Systems for Perioperative Transfer and Induction of Anaesthesia for Special Needs Children

Sensors ◽  
2020 ◽  
Vol 20 (17) ◽  
pp. 4901
Author(s):  
Hwan Ing Hee ◽  
Kiang Loong Ng ◽  
Manolo STA Cruz ◽  
Aloysius Tan ◽  
Haoyong Yu
Keyword(s):  
Hospital Staff ◽  
Standing Position ◽  
Ease Of Use ◽  
Disruptive Behaviour ◽  
Operating Table ◽  
Special Needs Children ◽  
Healthcare Staff ◽  
Children And Parents ◽  
Intuitive Concept ◽  
Induction Of Anaesthesia

Children with autistic spectrum disorder (ASD) often exhibit uncontrollable disruptive behaviour during transfer to the operating room and operating table and at the induction of anaesthesia (sleep). This process often involves the physical restraining of children. These children are then lifted onto the operating table by healthcare staff after being anaesthetized. This predisposes children to fall risk and hospital staff to musculoskeletal injuries. We developed two concept mobility devices, IMOVE-I and -II, based on robotics systems comprising of restraint modules and multi-positional modality (sitting, supine, Trendelenburg). The aim was to intuitively secure children to facilitate the safe induction of sleep and ease of transfer onto operating tables upon sleep. IMOVE-I loads the child in standing position using a dual arm restraint module that is activated by trained healthcare staff. IMOVE-II loads the child in the sitting position by motivating the self-application of restraints. Opinions were obtained from 21 operating theatre healthcare staff with experience in the care of ASD children and parents with ASD children. The mean satisfaction rating of IMOVE-I was 5.62 (95% CI 5.00, 6.27) versus 8.10 (95% CI 7.64, 8.55) in IMOVE-II, p < 0.001. IMOVE-II is favoured over IMOVE-I in system operation and safety, ease of use and module functionality.

scholarly journals Delayed Recognition of Deterioration of Patients in General Wards Is Mostly Caused by Human Related Monitoring Failures: A Root Cause Analysis of Unplanned ICU Admissions

PLoS ONE ◽  
2016 ◽  
Vol 11 (8) ◽  
pp. e0161393 ◽  
Author(s):  
Louise S. van Galen ◽  
Patricia W. Struik ◽  
Babiche E. J. M. Driesen ◽  
Hanneke Merten ◽  
Jeroen Ludikhuize ◽  
...  
Keyword(s):  
Root Cause Analysis ◽  
Cause Analysis ◽  
Root Cause ◽  
Delayed Recognition ◽  
General Wards

scholarly journals Psychological impact of COVID-19 pandemic on healthcare workers in a highly burdened area of north-east Italy

2020 ◽  
Vol 30 ◽  
Author(s):  
A. Lasalvia ◽  
C. Bonetto ◽  
S. Porru ◽  
A. Carta ◽  
S. Tardivo ◽  
...  
Keyword(s):  
Healthcare Workers ◽  
Psychological Impact ◽  
Hospital Staff ◽  
Psychological Problems ◽  
Administrative Staff ◽  
Healthcare Staff ◽  
North East ◽  
Post Traumatic ◽  
Traumatic Distress ◽  
The Impact

Abstract Aims Healthcare workers exposed to coronavirus 2019 (COVID-19) patients could be psychologically distressed. This study aims to assess the magnitude of psychological distress and associated factors among hospital staff during the COVID-19 pandemic in a large tertiary hospital located in north-east Italy. Methods All healthcare and administrative staff working in the Verona University Hospital (Veneto, Italy) during the COVID-19 pandemic were asked to complete a web-based survey from 21 April to 6 May 2020. Symptoms of post-traumatic distress, anxiety and depression were assessed, respectively, using the Impact of Event Scale (IES-R), the Self-rating Anxiety Scale (SAS) and the Patient Health Questionnaire (PHQ-9). Personal socio-demographic information and job characteristics were also collected, including gender, age, living condition, having pre-existing psychological problems, occupation, length of working experience, hospital unit (ICUs and sub-intensive COVID-19 units vs. non-COVID-19 units). A multivariable logistic regression analysis was performed to identify factors associated with each of the three mental health outcomes. Results A total of 2195 healthcare workers (36.9% of the overall hospital staff) participated in the study. Of the participants, 35.7% were nurses, 24.3% other healthcare staff, 16.4% residents, 13.9% physicians and 9.7% administrative staff. Nine per cent of healthcare staff worked in ICUs, 8% in sub-intensive COVID-19 units and 7.6% in other front-line services, while the remaining staff worked in hospital units not directly engaged with COVID-19 patients. Overall, 63.2% of participants reported COVID-related traumatic experiences at work and 53.8% (95% CI 51.0%–56.6%) showed symptoms of post-traumatic distress; moreover, 50.1% (95% CI 47.9%–52.3%) showed symptoms of clinically relevant anxiety and 26.6% (95% CI 24.7%–28.5%) symptoms of at least moderate depression. Multivariable logistic regressions showed that women, nurses, healthcare workers directly engaged with COVID-19 patients and those with pre-existing psychological problems were at increased risk of psychopathological consequences of the pandemic. Conclusions The psychological impact of the COVID-19 pandemic on healthcare staff working in a highly burdened geographical of north-east Italy is relevant and to some extent greater than that reported in China. The study provides solid grounds to elaborate and implement interventions pertaining to psychology and occupational health.

Examining the Root Cause of Surrogate Conflicts in the Intensive Care Unit and General Wards

2010 ◽  
Vol 29 (1) ◽  
pp. 38-48 ◽  
Author(s):  
Allison Neyhart Rubin ◽  
Katrina A. Bramstedt
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Root Cause ◽  
General Wards

scholarly journals RCT comparing the clinical effectiveness of conventional instructor-facilitated cardiac compression training to technology enhanced training using high-fidelity mannequins-A pilot study

2021 ◽  
Vol 11 (8) ◽  
pp. 69
Author(s):  
Alison Pighills ◽  
Rachel Waye ◽  
Stephanie Taylor ◽  
Vicki Braithwaite ◽  
Daniel Lindsay ◽  
...  
Keyword(s):  
Pilot Study ◽  
Controlled Trial ◽  
Clinical Effectiveness ◽  
Training Group ◽  
Hospital Staff ◽  
Training System ◽  
High Fidelity ◽  
Healthcare Staff ◽  
Skill Levels ◽  
Cardiac Compression

Introduction: Healthcare professionals often provide substandard chest compression following cardiac arrest. This is deemed a preventable harm because this skill can be acquired. The recent development of technology-enhanced cardiac compression training devices provides an alternative to traditional instructor-facilitated training. This pilot study compared the effectiveness of conventional and technology-enhanced training modalities.Methods: A pilot randomised controlled trial design was used in a regional hospital in Queensland. Following baseline assessment, healthcare staff were randomised to one of three groups: traditional instructor-facilitated training; high-fidelity mannequin training and continuous access to the training system to practise skills; and, high-fidelity mannequin training with no further access to the training system to practise skills. The primary outcome, cardiac compression skill levels, was analysed using analysis of co-variance, adjusting for predictive co-variates. Secondary measures were analysed using inferential statistics or presented descriptively.Results: Between January and February 2017, 502 healthcare staff were recruited. At baseline, 21\% were competent in cardiac compression, increasing to 38% on reassessment. The mode of training did not affect skill level (F(92,392) = 0.061, p = .94), however, participants in the high-fidelity mannequin training group who practised their skills had statistically significantly higher reassessment scores (z = -2.34, p = .019). Baseline score and the number of times participants practised their skills were significant predictors of reassessment scores (F(2,392) = 7.73, p = .001).Conclusions: Most hospital staff who may need to perform cardiac compression were not competent in this skill. Neither training modality was more effective. Both training and practise increased cardiac compression skill levels, indicating that frequent, low-dose training is required.

scholarly journals A Guide for Oncologic Patient Management during Covid-19 Pandemic: The Initial Experience of an Italian Oncologic Hub with Exemplificative Focus on Uro-Oncologic Patients

Cancers ◽  
2020 ◽  
Vol 12 (6) ◽  
pp. 1513 ◽  
Author(s):  
Francesco A. Mistretta ◽  
Stefano Luzzago ◽  
Luigi Orlando Molendini ◽  
Matteo Ferro ◽  
Enza Dossena ◽  
...  
Keyword(s):  
Intensive Care ◽  
Cancer Patients ◽  
Patient Management ◽  
Hospital Staff ◽  
Patient Treatment ◽  
Medical Team ◽  
Initial Experience ◽  
Oncologic Patient ◽  
Exponential Increase ◽  
Oncologic Patients

The recent exponential increase in the number of COVID-19 patients in Italy led to the adoption of specific extraordinary measures, such as the need to convey treatment of all non-deferrable cancer patients to specialized centres (hubs). We reported a comprehensive summary of guidelines to create and run an oncologic hub during the COVID-19 pandemic. Oncologic hubs must fulfil some specific requirements such as a high experience in oncologic patient treatment, strict strategies applied to remain a “COVID-19-free” centre, and the creation of a dedicated multidisciplinary “hub team”. Cancer treatment of patients who belong to external centres, namely spoke centres, could be organized in different pathways according to the grade of involvement and/or availability of the medical team of the spoke centre. Moreover, dedicated areas should be created for the management and treatment of patients who developed COVID-19 symptoms after hospitalization (i.e., dedicated wards, operation rooms and intensive care beds). Lastly, hospital staff must be highly trained for both preventing COVID-19 contagion and treating patients who develop the infection. We provided a simplified, but complete and easily applicable guide. We believe that this guide could help those clinicians who have to treat oncologic patients during the COVID-19 pandemic.

scholarly journals An Ayurvedic Approach To Amavata - A Case Study

2020 ◽  
Vol 4 (06) ◽  
Author(s):  
Dr.Namrata Shantaram Hulawale ◽  
Dr. Millind B. Nikumbh ◽  
Dr.Laxmi Barela
Keyword(s):  
Symptomatic Relief ◽  
Modern Medicine ◽  
The Body ◽  
Effective Management ◽  
Root Cause ◽  
Routine Work ◽  
Systemic Disorder ◽  
Progressive Disorder ◽  
Body Ache

ABSTRACT : Amavata is composed of two words namely- Ama and Vata. The Ama is the product of incomplete digestion which circulates throughout the body and induces heaviness, loss of taste and appetite, body ache, joint swelling and stiffness, constipation etc like symptoms. The Amavata is described under Vata-Kaphaja vikaras since the period of Madhavkara (16th century). It is a chronic inflammatory systemic disorder affecting mainly the synovial joints in the body. It resembles with Rheumatoid Arthritis in the modern pathology. The Amavata is known to be a crippling, chronic and progressive disorder making it difficult to cure. The symptomatic relief is attained by modern medicine but the root cause and pathology of the disease remains untreated. In Ayurveda, the basic treatment principles of Deepana, Langhana, Swedana, Virechana, Basti, Tikta-Katu dravyas are applied for effective management of the root cause of Amavata. A 38 year old female patient with complaints of Shoola, Shotha and Sthamba of the knee, wrist, ankle and metacarpophalangeal joints of both hands was reported in our hospital OPD an year ago. According to the Lakshanas and the blood investigations, the diagnosis was made as Amavata and treatment was planned. Oral medication with Sinhanad Guggul, Vatavidhwans Ras, Arogyavardhini vati, Dashamularistha and Shunti-Eranda kwath along with Valuka sweda was advised. The assessement was made on the basis of subjective and objective parameters. The results did show a significant improvement in the symptoms of the patient and she was able to perform her routine work without any difficulty.

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