Behavior of cough droplets emitted from Covid-19 patient in hospital isolation room with different ventilation configurations

ObjectivesWe aimed to describe the quality improvement measures made by Norwegian general practice (GP) during the COVID-19 pandemic, evaluate the differences in quality improvements based on region and assess the combinations of actions taken.DesignDescriptive study.SettingParticipants were included after taking part in an online quality improvement COVID-19 course for Norwegian GPs in April 2020. The participants reported whether internal and external measures were in place: COVID-19 sign on entrance, updated home page, access to video consultations and/or electronic written consultations, home office solutions, separate working teams, preparedness for home visits, isolation rooms, knowledge on decontamination, access to sufficient supplies of personal protective equipment (PPE) and COVID-19 clinics.ParticipantsOne hundred GP offices were included. The mean number of general practitioners per office was 5.63.ResultsMore than 80% of practices had the following preparedness measures: COVID-19 sign on entrance, updated home page, COVID-19 clinic in the municipality, video and written electronic consultations, knowledge on how to use PPE, and home office solutions for general practitioners. Less than 50% had both PPE and knowledge of decontamination. Lack of PPE was reported by 37%, and 34% reported neither sufficient PPE nor a dedicated COVID-19 clinic. 15% reported that they had an isolation room, but not enough PPE. There were no geographical differences.ConclusionsNorwegian GPs in this study implemented many quality improvements to adapt to the COVID-19 pandemic. Overall, the largest potentials for improvement seem to be securing sufficient supply of PPE and establishing an isolation room at their practices.

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Isolation room: Michael Parekowhai’s the Lighthouse: Tū Whenua-a Kura

Interiors Design Architecture and Culture ◽

10.1080/20419112.2021.1938832 ◽

2021 ◽

pp. 1-24

Author(s):

Rachel Carley

Keyword(s):

Isolation Room

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FAKTOR-FAKTOR YANG BERPENGARUH DALAM LUARAN KLINIS PASIEN TETANUS DI RSUP DR. MOHAMMAD HOESIN PALEMBANG

Majalah Kedokteran Neurosains Perhimpunan Dokter Spesialis Saraf Indonesia ◽

10.52386/neurona.v35i3.16 ◽

2018 ◽

Vol 35 (3) ◽

Author(s):

Luther Theng ◽

Theresia Christin ◽

Erial Bahar

Keyword(s):

Mortality Rate ◽

Clinical Outcome ◽

Incidence Rate ◽

Medical Record ◽

Case Fatality ◽

Bivariate Analysis ◽

Cross Sectional ◽

Factors Affecting ◽

Isolation Room ◽

Reduce Mortality Rate

FACTORS AFFECTING THE CLINICAL OUTCOME OF TETANUS PATIENTS IN MOHAMMAD HOESIN GENERAL HOSPITAL PALEMBANGABSTRACTIntroduction: Tetanus is a serious health problem with mortality rate up to 60% despite the decreasing incidence rate every year. Knowledge about factors affecting clinical outcome of tetanus patients may reduce mortality rate, better understanding on prevention and management of the disease. The clinical outcomeAim: To know the incidence and factors that affect the clinical outcome of tetanus patients.Method: Retrospective study with cross sectional analytic using hospital-based secondary data. Inclusion criteria were hospitalized tetanus patients within 3 years period (2013-2015) and complete medical record. Incidence, case fatality rate and other which other factors associated with clinical outcome were counted from medical record and analyzed by univariate and bivariate analysis, and logistic regression for multivariate analysis.Result: The incidence rate of tetanus patients in 2013 was (4.28%), 2014 (1.62%), 2015 (2.87%) and the mortality rate reaches 28.41%. From 41 subjects, univariate, bivariate and multivariate analyses were performed. The four selected variables were gender, port d’entrée, onset, and isolation room. Dsicussion: Mortality rate reached 28.41% despite the decreasing incidence every year. Sex, port d’entrée, onset, and isolation room treatment are factors that affect clinical outcome of tetanus patients.Keywords: Clinical outcome, mortality rate, tetanusABSTRAKPendahuluan: Tetanus merupakan masalah kesehatan serius dapat menyebabkan angka kematian mencapai 60% walaupun angka insiden semakin menurun setiap tahunnya. Pengetahuan mengenai faktor-faktor yang memengaruhi luaran klinis pasien dapat menurunkan angka kematian, upaya pencegahan penyakit dan keberhasilan penatalaksanaan.Tujuan: Mengetahui insiden serta faktor–faktor yang memengaruhi luaran klinis pasien tetanus.Metode: Studi bersifat retrospektif dengan metode potong lintang analitik dengan data sekunder berbasis RS. Kriteria inklusi adalah pasien tetanus yang dirawat sejak tiga periode 2013-2015 dan memiliki data rekam medis lengkap. Insiden, angka kematian dan hal-hal yang diperkirakan berhubungan dengan luaran ditelusuri dari rekam medis kemudian dilakukan analisis univariat, bivariat, dan multivariat menggunakan regresi logistik.Hasil: Angka insiden tetanus tahun 2013 (4,28%), 2014 (1,62%), 2015 (2,87%) dengan angka kematian rata-rata28,41%. Dari 41 subjek penelitian dilakukan analisis univariat, bivariat, dan multivariat. Empat variabel yang terpilih adalah jenis kelamin, port d’entrée, onset, dan perawatan pasien ruang isolasi.Diskusi: Angka kematian kasus tetanus masih mencapai 28,41% walaupun angka insiden semakin menurun setiap tahunnya. Jenis kelamin, port d’entry, onset, dan perawatan di ruang isolasi merupakan faktor-faktor berpengaruh terhadap luaran klinis pasien tetanus.Kata kunci: Angka kematian, luaran klinis, tetanus

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MODUL UNIT KARANTINA PORTABLE SEBAGAI FASILITAS PEMBANTU RUANG ISOLASI DARURAT DI LINGKUNGAN KAMPUNG PADAT PENDUDUK

SHARE SHaring - Action - REflection ◽

10.9744/share.7.2.78-85 ◽

2021 ◽

Vol 7 (2) ◽

pp. 78-85

Author(s):

Yusuf Ariyanto ◽

Wira Widjaya Lindarto ◽

Dyah Kusuma Wardhani

Keyword(s):

Community Service ◽

Participatory Design ◽

Design Method ◽

Informal Settlement ◽

Isolation Room ◽

Physical Conditions ◽

Service Activity ◽

Village Communities ◽

The Government

The capacity of the isolation room at the hospital appointed by the Government to treat Covid-19 patients is no longer able to accommodate the positive Covid-19 patients. Positive Covid-19 patients with no symptoms or other signs of worsening physical conditions are advised to do self-quarantine and isolation independently. This self-quarantine/isolation becomes a problem especially in densely populated settlements, especially informal settlements. The case study on this community service activity is an informal settlement located along the Surabaya railroad. Together with the Surabaya ARKOM team as partners, this community service activity conducting field observations with the results that there are still many poor house conditions in this area, the conditions of the houses are tight and not fulfilled the standards of a healthy house, which causes a larger potential spread of Covid-19 virus and makes it impossible to carry out self-isolation in their each homes. The solution offered is to create a communal isolation room module as an emergency isolation room for informal village communities during a pandemic or can be used in other certain emergency conditions with a participatory design method that meets health standards for isolation rooms designed with the easy and fast module applications process. The purpose of this activity is to provide a set of modules for communal quarantine units as prototypes that can be made by the community with a simple system, easily available materials, fast and prioritizing community participation in its assembling. Abstrak: Kapasitas ruang isolasi di Rumah Sakit yang ditunjuk Pemerintah untuk merawat pasien Covid-19 sudah tak mampu menampung membeludaknya pasien positif Covid-19. Pasien positif Covid-19 yang belum mengalami atau bahkan yang tidak menunjukkan gejala penurunan kondisi fisik, dianjurkan untuk melakukan karantina dan perawatan secara mandiri. Karantina secara mandiri ini menjadi tantangan tersendiri untuk permukiman padat penduduk, terutama permukiman informal. Menjadi studi kasus pada kegiatan pengabdian masyarakat ini adalah permukiman informal yang berada di tepi kereta api. Bersama tim ARKOM Surabaya sebagai mitra melakukan observasi lapangan dengan hasil menunjukkan bahwa kondisi rumah yang memprihatinkan masih banyak terdapat di area ini, kondisi rumah berdempetan dan tidak sesuai standar rumah sehat inilah yang menyebabkan potensi besar penularan Covid-19 dan tidak memungkinkan untuk melakukan isolasi mandiri di rumah masing-masing. Solusi yang ditawarkan adalah membuat modul ruang karantina komunal sebagai ruang karantina darurat bagi masyarakat kampung informal pada masa pandemi atau kondisi darurat tertentu dengan metode desain partisipatif yang memenuhi standar kesehatan untuk sebuah ruang karantina yang didesain dengan proses aplikasi modul yang mudah, murah dan cepat. Tujuan dari kegiatan ini adalah memberikan modul unit karantina komunal sebagai prototype yang dapat dibuat sendiri oleh masing-masing kampung padat penduduk dengan sistem yang sederhana (portable), material mudah didapat, cepat dan mengedepankan usaha partisipatif masyarakat dalam pembuatannya.

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Simulations to Determine the Disinfection Efficiency of Supplementary UV Light Devices in a Ventilated Hospital Isolation Room

Indoor and Built Environment ◽

10.1177/1420326x09358019 ◽

2010 ◽

Vol 19 (1) ◽

pp. 48-56 ◽

Cited By ~ 5

Author(s):

Chan Li ◽

Baoqing Deng ◽

Chang Nyung Kim

Keyword(s):

Uv Light ◽

Isolation Room

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Sister Robots - food and medicine carriers

Applied Science and Technology Annals ◽

10.3126/asta.v1i1.30307 ◽

2020 ◽

Vol 1 (1) ◽

pp. 197-202

Author(s):

Bikash Gurung ◽

Anil Singh ◽

Pankaj Japrel ◽

Rishan Joshi ◽

Prithvi Chaudhary

Keyword(s):

Phase 1 ◽

Cost Effective ◽

Mass Scale ◽

Small Scale ◽

Scale Production ◽

Collaborative Partnerships ◽

Power Performance ◽

Phase 3 ◽

Camera System ◽

Isolation Room

Sister Robots - ‘Food and Medicine Carrier Robot’ are manually controlled robots which can be used in Corona Testing Hospital where health representatives or medical professionals need to carry food and medicine from the kitchen of the hospital to the patient isolation room. Robotics Association of Nepal [RAN] along with Team Robonauts, Team Kantibir and Team Oztec have developed the different versions of Sister Robots. The first version of the Robot - Sister V.1 is now working at the provincial hospital of Province no. 3, Hetauda Hospital. The Robot was built in support of Nepal Engineers’ Association [NEA] and handed over to Honorable Chief Minister, Province No.3 Dormani Poudel. Sister V.1 can help frontline health professionals communicate with COVID-19 suspected/infected patients in the isolation room, deliver essential foods and medicines as well. Sister V.1 took 20 days for its completion. The development team further developed second version of Sister Robot [Sister V.2]. First piece of Sister V.2 has been completed and 5 more are on the verge of development. Armed Police Force [APF] Hospital has made a trial of Sister V.2. Sister V.2 has been upgraded with a double 12V 8000MAH battery system for higher power performance, dual FPV camera system for Top 90 degree rotation back view and Front 180 degree bottom view. Food and Medicine can be easily delivered and COVID-19 can sanitize their hands with automatic sanitizer as well. Phase 1 product development has been completed and Phase 2 small scale production is currently running. The phases are defined based on the upgrade of the Robots as the team believes in iteration of the robot and customization as well. Mass scale production of Sister Robots on phase 3 Version 3 [Sister V.3] will consist of different lines of Robots with different specifications. More cost effective technologies will be introduced and automation will be a priority of Robot development. Research Center for Applied Science and Technology (RECAST) and Sagarmatha Engineering College collaborated with RAN for 6 more robots to develop financially. Phase 3 focuses in bringing Sister V.3 at each and every hospital in Nepal through collaborative partnerships and safety campaigns.

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