Testing Protocol for Experimental Seismic Qualification of Distributed Nonstructural Systems

2011 ◽  
Vol 27 (3) ◽  
pp. 835-856 ◽  
Author(s):  
Rodrigo Retamales ◽  
Gilberto Mosqueda ◽  
Andre Filiatrault ◽  
Andrei Reinhorn

Building codes and standards now require seismic qualification of mechanical and electrical equipment and their mounting systems in important buildings to ensure that they remain functional during and after major seismic events. To better understand the seismic behavior of nonstructural building contents and equipment, experimental procedures have been proposed for either displacement or acceleration sensitive nonstructural components, through racking or shake table protocols, respectively. However, certain types of nonstructural systems are sensitive to both accelerations and interstory drifts. An innovative testing protocol is proposed that can subject nonstructural systems to the combined accelerations and interstory drifts expected within multistory buildings during seismic shaking. Moreover, the proposed protocol, when used with equipment such as the University at Buffalo Nonstructural Component Simulator (UB-NCS), allows for the assessment of the seismic performance of distributed nonstructural systems with multiple attachment points, and the evaluation of seismic interactions between components. The versatility and capabilities of the testing protocol are demonstrated through testing of a full-scale hospital emergency room containing typical nonstructural components and life support medical equipment.

2011 ◽  
Vol 5 (10) ◽  
pp. 2445
Author(s):  
Teresa Celia de Mattos Moraes dos Santos ◽  
Ana Lucia De Faria ◽  
Gisele Cristina Assis Elias ◽  
Marcelo dos Santos Feitosa

ABSTRACTObjective: identifying the content domain of the nursing staff that works in an Emergency Room on the compliance with cardiopulmonary arrest and CPR. Method: prospective, descriptive quantitative approach, carried out with 40 professionals from the nursing staff of a private hospital Emergency Room in Vale do Paraíba Paulista. The collection was achieved by applying the questionnaire with closed questions, being composed of two parts: identifying the research population and questionnaire based on literature. Data were tabulated and submitted to descriptive statistics. The study was approved by the Ethics Committee in Research of the University of Taubaté (CEP No. 104/10). Results: about the adopted procedures, in a cardiac arrest, 17 (42.50%) responded Basic Life Support, and about Recognition, 35 (87.50%) responded to check the level of consciousness, breathing and pulse. In reference to the signs and symptoms that precede a cardiac arrest, 21 (52.5%) were unable to identify the classic signs and symptoms of a cardiac arrest. Conclusion: the nursing staff needs theoretical and practical training, neither to harm the victim and nor decrease the quality and efficiency of care. Descriptors: cardiac arrest; emergency nursing; patient care; cardiopulmonary resuscitation, hospitalization.RESUMOObjetivo: identificar o conteúdo de domínio da equipe de enfermagem que atua em um Pronto-socorro sobre o atendimento à Parada Cardiorespiratória e Ressuscitação Cardiopulmonar. Método: pesquisa prospectiva e descritiva de abordagem quantitativa, realizada com 40 profissionais da equipe de enfermagem de uma Unidade de Pronto-socorro de um hospital privado da região do vale do Paraíba paulista. A coleta foi realizada mediante aplicação do questionário com questões fechadas, sendo composto por duas partes: identificação da população pesquisada e questionário elaborado com base na literatura. Os dados foram tabulados e submetidos à estatística descritiva. A pesquisa foi aprovada pelo Comitê de Ética em pesquisa da Universidade de Taubaté (CEP nº 104/10). Resultados: sobre qual atendimento adotar, em uma parada cardiorrespiratória, 17 (42,50%) responderam Suporte Básico de Vida e, quanto ao reconhecimento, 35 (87,50%) responderam verificar nível de consciência, respiração e pulso. Em referência aos sinais e sintomas que precedem uma parada cardiorrespiratória, 21 (52,5%) não souberam identificar os sinais e sintomas clássicos de uma parada cardiorrespiratória. Conclusão: a equipe de enfermagem precisa de capacitação teórica e prática, para não prejudicar a vítima e nem diminuir a qualidade e eficiência da assistência prestada. Descritores: parada cardiorrespiratória; enfermagem em emergência; assistência ao paciente; ressuscitação cardiopulmonar; intra-hospitalar.RESUMENObjetivo: identificar el contenido de dominio del equipo de enfermería que atua en un Pronto-atendimiento sobre el atendimiento a la Parada Cardiorespiratoria y Resuscitación Cardiopulmonar. Método: investigación prospectiva y descriptiva de abordaje cuantitativo, realizado con 40 profesionales del equipo de enfermería de una Unidad de Pronto-atendimiento de un hospital privado de la región del vale del Paraíba paulista. La cosecha de los datos fue realizada mediante aplicación de cuestionario con cuestiones cerradas, siendo compuesto por dos partes: identificación de la poblação investigada y cuestionario elaborado con base en la literatura. Los dados fueron tabulados y sometidos a la estadística descriptiva. La investigación fue aprobada por el Comité de Ética en pesquisa de la Universidad de Taubaté (CEP nº 104/10). Resultados: sobre cual atendimiento adoptar, en una parada cardiorrespiratoria, 17 (42,50%) respondieron Soporte Básico de Vida y, cuanto al reconocimiento, 35 (87,50%) respondieron verificar nivel de conciencia, respiración t pulso. En referencia a señales y síntomas que preceden una parada cardiorrespiratoria, 21 (52,5%) não supieron identificar las señales y síntomas clásicos de una parada cardiorrespiratoria. Conclusión: el equipo de enfermería precisa de capacitación teórica y práctica, para no perjudicar la vítima ni disminuir la calidad de eficácia de la asistencia prestada. Descriptores: parada cardiorrespiratoria; enfermería en emergencia; asistencia al paciente; resuscitación cardiopulmonar; intra-hospitalar. 


Econometrics ◽  
2021 ◽  
Vol 9 (1) ◽  
pp. 8
Author(s):  
Paula Simões ◽  
Sérgio Gomes ◽  
Isabel Natário

Hospital emergency departments are often overused by patients that do not really need urgent care. These admissions are one of the major factors contributing to hospital costs, which should not be allowed to compromise the response and effectiveness of the National Health Services (SNS). The aim of this study is to perform a detailed spatial health econometrics analysis of the non-urgent emergency situations (classified by Manchester triage) by area, linking them with the efficient use of the national health line, the Saude24 line (S24 line). This is evaluated through the S24 savings calls, using a savings index and its spatial effectiveness in solving the non-urgent emergency situations. A savings call is a call by a user whose initial intention was to go to an urgency department, but who. after calling the S24 line. changed his/her mind. Given the spatial nature of the data, and resorting to INLA in a Bayesian paradigm, the number of non-urgent cases in the Portuguese urgency hospital departments is modeled in an autoregressive way. The spatial structure is accounted for by a set of random effects. The model additionally includes regular covariates and a spatially lagged covariate savings index, related with the S24 savings calls. Therefore, the response in a given area depends not only on the (weighted) values of the response in its neighborhood and of the considered covariates, but also on the (weighted) values of the covariate savings index measured in each neighbor, by means of a Bayesian Poisson spatial Durbin model.


1999 ◽  
Vol 31 (1) ◽  
pp. 92-94 ◽  
Author(s):  
Viera K. Proulx

Stroke ◽  
2015 ◽  
Vol 46 (suppl_1) ◽  
Author(s):  
Deborah Bergman ◽  

Background and Issues: Stroke patients can arrive to the emergency room via Emergency Medical Services (EMS) or ambulatory at triage. Processes are already in place to identify stroke patients in the field such as the Cincinnati Pre-hospital Stroke Scale used by the Emergency Management Services (EMS) and early notification to the hospital emergency room staff. Data showed that approximately 68% of stroke patients at this stroke center arrived by or were brought to the hospital by self, family, or coworkers and not by EMS. Our main goal was to improve the process for recognizing stroke symptoms for patients who do not arrive by EMS and minimize delays to activating the Stroke Code Team Page in the triage area. Methods: The first step was to identify the barriers or delays that nurses had with initiating a stroke code alert. Stroke code activations were delayed because of uncertainty of who should call it and some nurses did not feel confident in their decision to activate the stroke code alert without consulting the emergency room physician. It was determined that the nurse would feel more empowered if there was more clarity to their roles and responsibilities during the assessment phase and there was an assessment tool available to guide them to the decision to activate the stroke team page. A modified version of the “Recognition of Stroke in the Emergency Room” (ROSIER) scale was implemented for the nurses to evaluate a patient that presents with stroke like symptoms. In addition to clarify their roles a workflow chart was deployed to show each team member their specific roles and responsibilities during this process. Results: Prior to the implementation of the ROSIER scale at triage the activation of stroke codes at triage were inconsistent. After education of the ED nurses and implementation of the ROSIER SCALE at triage there was a significant increase in the activations of stroke codes by ED nurses and a decrease in the time from triage to stroke team activation. Conclusions: Using an assessment tool like the ROSIER Scale in addition to clarifying the roles and responsibilities of the team can reduce delays to identifying acute stroke symptoms in patients at a busy emergency room triage area and improve opportunities for timely interventions.


PEDIATRICS ◽  
1979 ◽  
Vol 64 (6) ◽  
pp. 962-963 ◽  
Author(s):  
Thomas E. Reichelderfer ◽  
Avrin Overbach ◽  
Joseph Greensher

Pediatricians generally may not be aware that playgrounds and playground equipment present an unsuspected hazard to children. Swings, slides, and playground equipment are ranked fifth in the Consumer Product Hazard Index based on data from the National Electronic Injury Surveillance System (NEISS) of the Consumer Product Safety Commision (CPSC), with an Age Adjusted Frequency-Severity Index of 12,498,000 for 1976 to 1977.1 Last year the CPSC's NEISS estimated that 167,000 persons were administered hospital emergency room treatment on a nationwide basis for injuries associated with public (75,000), home (41,000), and unspecified (51,000) playground equipment. The majority of those injured were between 5 and 10 years of age.


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