scholarly journals Virtual Care in the Veterans Affairs (VA) Spinal Cord Injuries and Disorders System of Care During the COVID-19 National Public Health Emergency

2021 ◽  
Author(s):  
Daniel Barrows ◽  
Barry Goldstein
Keyword(s):  
Public Health ◽  
Spinal Cord ◽  
Spinal Cord Injuries ◽  
Veterans Affairs ◽  
System Of Care ◽  
Public Health Emergency ◽  
Virtual Care ◽  
National Public Health

The Opioid Crisis: How Counselors Can and Should Respond

2021 ◽  
Vol 43 (2) ◽  
pp. 112-124
Author(s):  
Kevin S. Doyle
Keyword(s):  
Public Health ◽  
The United States ◽  
Public Health Emergency ◽  
Scope Of Practice ◽  
Professional Activity ◽  
Specialty Area ◽  
Ethical Imperative ◽  
National Public Health ◽  
Overdose Deaths ◽  
Do So

Drug overdose deaths in the United States have reached unprecedented levels in recent years and continue to rise. Counselors are uniquely positioned to respond to this crisis but may be reluctant or not equipped to do so due to a variety of factors, including scope of practice concerns. Responding to this crisis, however, is a clinical necessity and an ethical imperative for all practicing counselors, regardless of specialty area. A review of proposed responses at the macro/systemic, professional, and personal levels is presented, with concrete examples within each level, to assist counselors in identifying and implementing professional activity, advocacy, and engagement to address the unprecedented national public health emergency. Specific considerations for advocacy and for clinical practice are proposed to further assist counselors and motivate action.

A Voice Activated Video Communication System for Nurses to Communicate with COVID19 Inpatients: Notes from the Field (Preprint)

2021 ◽  
Author(s):  
Mimi Dunn ◽  
Adam Landman ◽  
Jennifer Cartright ◽  
Anne Bane ◽  
Anne Brogan ◽  
...  
Keyword(s):  
Public Health ◽  
Future Development ◽  
Communication System ◽  
Public Health Emergency ◽  
Video Communication ◽  
Grade System ◽  
Virtual Care ◽  
Remote Communications

UNSTRUCTURED With the relaxing of telehealth regulations from the HIPAA Waiver for Telehealth Remote Communications during the COVID-19 Nationwide Public Health Emergency notification, our organization had the opportunity to pilot an innovative virtual care solution using a modified consumer grade system (Amazon Echo Show) within one inpatient COVID-19 unit. In this brief report, we describe our experiences with implementing the system, general feedback from clinicians, and discuss areas for future development required to enable future scaling of this solution.

scholarly journals Mental disorder prevalence among U.S. Department of Veterans Affairs outpatients with spinal cord injuries

2017 ◽  
Vol 41 (6) ◽  
pp. 691-702 ◽  
Author(s):  
Scott D. McDonald ◽  
Melody N. Mickens ◽  
Lisa D. Goldberg-Looney ◽  
Brian J. Mutchler ◽  
Michael S. Ellwood ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Mental Disorder ◽  
Spinal Cord Injuries ◽  
Veterans Affairs ◽  
Department Of Veterans Affairs

scholarly journals From Uncoordinated Patchworks to a Coordinated System: MERS-CoV to COVID-19 in Korea

2020 ◽  
Vol 50 (6-7) ◽  
pp. 736-742 ◽  
Author(s):  
Yushim Kim ◽  
Seong Soo Oh ◽  
Chan Wang
Keyword(s):  
Public Health ◽  
Emergency Management ◽  
National Level ◽  
Public Health Emergency ◽  
Coordination Problems ◽  
Geographic Boundaries ◽  
Contagious Nature ◽  
Global Pandemic ◽  
National Public Health ◽  
Centralized Coordination

South Korea has experienced two national public health crises during this decade. The 2015 Middle East respiratory syndrome-coronavirus (MERS-CoV) response’s failure to address coordination problems or authority conflicts provided an opportunity to revise its national disease control system before the 2020 coronavirus disease 2019 (COVID-19) crisis. Our reflection on Korea’s MERS-CoV and COVID-19 responses provides a perspective on public health emergency management. It is difficult to project the scale of an emerging infectious disease in advance because of its contagious nature and ability to cross geographic boundaries. In a national epidemic or global pandemic, a centralized coordination effort at the national level is desirable, rather than fragmented local, city, or regional efforts.

scholarly journals Adapting the Surveillance Platform for Enteric and Respiratory Infectious Organisms at United States Veterans Affairs Medical Centers (SUPERNOVA) for COVID-19 Among Hospitalized Adults: Surveillance Protocol

2021 ◽  
Vol 9 ◽  
Author(s):  
Elissa Meites ◽  
Kristina L. Bajema ◽  
Anita Kambhampati ◽  
Mila Prill ◽  
Vincent C. Marconi ◽  
...  
Keyword(s):  
Public Health ◽  
United States ◽  
Mechanical Ventilation ◽  
Invasive Mechanical Ventilation ◽  
Respiratory Illness ◽  
Veterans Affairs ◽  
Public Health Emergency ◽  
Acute Respiratory Illness ◽  
Medical Centers ◽  
Veterans Affairs Medical Centers

Introduction: Early in the COVID-19 pandemic, the Centers for Disease Control and Prevention (CDC) rapidly initiated COVID-19 surveillance by leveraging existing hospital networks to assess disease burden among hospitalized inpatients and inform prevention efforts.Materials and Methods: The Surveillance Platform for Enteric and Respiratory Infectious Organisms at Veterans Affairs Medical Centers (SUPERNOVA) is a network of five United States Veterans Affairs Medical Centers which serves nearly 400,000 Veterans annually and conducts laboratory-based passive and active monitoring for pathogens associated with acute gastroenteritis and acute respiratory illness among hospitalized Veterans. This paper presents surveillance methods for adapting the SUPERNOVA surveillance platform to prospectively evaluate COVID-19 epidemiology during a public health emergency, including detecting, characterizing, and monitoring patients with and without COVID-19 beginning in March 2020. To allow for case-control analyses, patients with COVID-19 and patients with non-COVID-19 acute respiratory illness were included.Results: SUPERNOVA included 1,235 participants with COVID-19 and 707 participants with other acute respiratory illnesses hospitalized during February through December 2020. Most participants were male (93.1%), with a median age of 70 years, and 45.8% non-Hispanic Black and 32.6% non-Hispanic White. Among those with COVID-19, 28.2% were transferred to an intensive care unit, 9.4% received invasive mechanical ventilation, and 13.9% died. Compared with controls, after adjusting for age, sex, and race/ethnicity, COVID-19 case-patients had significantly higher risk of mortality, respiratory failure, and invasive mechanical ventilation, and longer hospital stays.Discussion: Strengths of the SUPERNOVA platform for COVID-19 surveillance include the ability to collect and integrate multiple types of data, including clinical and illness outcome information, and SARS-CoV-2 laboratory test results from respiratory and serum specimens. Analysis of data from this platform also enables formal comparisons of participants with and without COVID-19. Surveillance data collected during a public health emergency from this key U.S. population of Veterans will be useful for epidemiologic investigations of COVID-19 spectrum of disease, underlying medical conditions, virus variants, and vaccine effectiveness, according to public health priorities and needs.

scholarly journals Epidemiology of Norovirus Outbreaks Reported to the Public Health Emergency Event Surveillance System, China, 2014–2017

Viruses ◽  
2019 ◽  
Vol 11 (4) ◽  
pp. 342 ◽  
Author(s):  
Yiyao Lian ◽  
Shuyu Wu ◽  
Li Luo ◽  
Bin Lv ◽  
Qiaohong Liao ◽  
...  
Keyword(s):  
Public Health ◽  
Surveillance System ◽  
Primary Schools ◽  
Public Health Emergency ◽  
The Public ◽  
Modes Of Transmission ◽  
Emergency Event ◽  
National Public Health ◽  
Reporting Structure ◽  
Environmental Disinfection

We conducted a retrospective analysis of norovirus outbreaks reported to the National Public Health Emergency Event Surveillance System (PHEESS) in China from January 1, 2014 to December 31, 2017. We reviewed all acute gastroenteritis outbreaks (n = 692) submitted to PHEESS to identify the frequency, seasonality, geographic distribution, setting, and transmission mode of outbreaks due to norovirus. A total of 616 norovirus outbreaks resulting in 30,848 cases were reported. Among these outbreaks, 571 (93%) occurred in school settings including 239 (39%) in primary schools, 136 (22%) in childcare facilities, and 121 (20%) in secondary schools. The majority of outbreaks (63%) were due to person-to-person transmission, followed by multiple modes of transmission (11%), foodborne (5%) and waterborne (3%) transmission. These findings highlight the importance of improving hand hygiene and environmental disinfection in high-risk settings. Developing a standard and quantitative outbreak reporting structure could improve the usefulness of PHEESS for monitoring norovirus outbreaks.

Mechanical ventilation strategy in quadriplegic patients for the intensivist

2021 ◽  
Author(s):  
Hervé Quintard ◽  
Franck Moniez
Keyword(s):  
Public Health ◽  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Mechanical Ventilation ◽  
High Risk ◽  
Spinal Cord Injuries ◽  
Ventilation Strategy ◽  
Good Practices ◽  
Cord Injury ◽  
Withdrawal Phase

In France, the number of spinal cord injuries is around 2000 new cases per year, often affecting young men, and thus having a real impact on public health. Seventy percent of patients with spinal cord injury upper than C5 require mechanical ventilation during their hospitalization. The need for this mechanical ventilation expose the spinal cord injury (SCI) patients to 2 risk periods: the intubation phase with a high risk of displacement and compression during the course of the procedure, and the withdrawal phase, which is particularly difficult in this context, resulting in an increase in morbidity and hospitalization times. Recently, the latest guidelines from SFAR-SFMU experts on the management of spinal cord injuries published. In this context, we report on good practices in the management of these patients, particularly in the field of ventilation.

scholarly journals For Whom the Bell Tolls: A Special Journal Issue on Smoking Control and an Interview With Dr Harry Lando

2018 ◽  
Vol 32 (5) ◽  
pp. 1165-1169
Author(s):  
Paul E. Terry
Keyword(s):  
Public Health ◽  
Public Health Emergency ◽  
Human Condition ◽  
Opioid Epidemic ◽  
Special Issue ◽  
Social Emotional ◽  
Journal Issue ◽  
Tobacco Addiction ◽  
National Public Health ◽  
Smoking Control

Opioid addiction has been cast as a “disease of despair.”1 I agree, but I wonder still: If tobacco and opioids were on a spectrum relative to the relief they provide from social, emotional, financial, and other sources of pain in the lives of the disenfranchised, could it be that they are indeed 2 sides of the same coin? For individuals in despair, pain relief is a complicit actor in what will become pleasure seeking and, for smokers, vice versa. Every year, almost as many people are dying by incidentally being near smokers as are dying by accidentally overdosing. Our opioid epidemic has been declared a national public health emergency, though the annual death toll from tobacco is 10 times greater. How should we reconcile this? As is extraordinarily represented in my interview with Dr Harry Lando and as is evident from the range of articles on tobacco control in this special issue, tobacco addiction research draws from every corner of psychology, sociology, philosophy, and other disciplines intent on understanding the human condition.

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