scholarly journals Maximizing Health-Care Capacity in Response to COVID-19 Outbreak: Rapid Expansion Through Education by Health Emergency and Disaster Experts

2020 ◽  
pp. 1-3
Author(s):  
Soichiro Kato ◽  
Yasuhiko Miyakuni ◽  
Yoshitaka Inoue ◽  
Yoshihiro Yamaguchi
Keyword(s):  
Infectious Disease ◽  
Health Care ◽  
Rapid Expansion ◽  
Medical Assistance ◽  
Educational Materials ◽  
Metropolitan Government ◽  
Acute Health Care ◽  
Short Period ◽  
Hands On ◽  
Care Capacity

ABSTRACT Delivering adequate health care in the setting of the ongoing pandemic is challenging. Due to coronavirus disease 2019 (COVID-19), the Tokyo Metropolitan government has been forced to expand their acute health-care capacity corresponding to infectious diseases within a short period. Responding to this situation, health emergency and disaster experts of the Tokyo Disaster Medical Assistance Team took the initiative in creating a brief education course. We established the course for expanding infectious disease care capacity by a dedicated hands-on lecture for health professionals who are unfamiliar with infectious disease care in ordinary circumstances. Our lecture included the typical course of COVID-19, use of personal protective equipment, environmental sterilization, medical-ward zoning, and safe caregiving. Hospitals that received customized lectures reported by means of a questionnaire that the lectures were well suited to their needs. Currently, the health-care system in Tokyo has increased its capacity to meet the demand and has not been affected by COVID-19. Our experience shows that health emergency and disaster experts can assist hospitals in crisis by providing educational materials.

The Introduction of Plantations into East Sumatra and its Socio-economic Impacts, 1863-1929

2020 ◽  
Vol 6 (5) ◽  
pp. 563-576
Keyword(s):  
Twentieth Century ◽  
Social Transformation ◽  
Rapid Expansion ◽  
Local Resistance ◽  
Short Period ◽  
Late Nineteenth ◽  
Fierce Competition ◽  
Plantation Crops ◽  
Colonial Government ◽  
Economic Regions

The goal of this article is to examine the introduction of plantations into East Sumatra (Indonesia) in the late nineteenth and early twentieth century. Attention is given to the five most important plantation crops, namely tobacco, rubber, oil palm, tea, and fiber. The article analyzes the economic and social transformation of the region as a consequence of the rapid expansion of plantations. Within a short period of time, East Sumatra emerged to become one of the most dynamic economic regions of Southeast Asia. The development of the region and the needs of a source of protection for Dutch planters in face of fierce competition from other Western companies and local resistance encouraged the Dutch colonial government to establish effective authority in East Sumatra. Received 4th June 2020; Revised 15th September 2020; Accepted 26th September 2020

Preparing Hospitals in India for Covid-19 Pandemic

2020 ◽  
Vol 11 (SPL1) ◽  
pp. 333-341
Author(s):  
Akanksha Nibudey ◽  
Vidya Baliga S
Keyword(s):  
Health Care ◽  
Emergency Preparedness ◽  
Healthcare Delivery ◽  
Direct Impact ◽  
Hospital Emergency ◽  
Current Outbreak ◽  
Operational Practices ◽  
Health Organization ◽  
Care Capacity ◽  
Hospital Emergency Preparedness

Hospitals have important part in the human health organization toprovide necessary treatmentfor public, mainly in a calamity. During the current outbreak of COVID-19, and is in giving important needs and supplies will possibly interrupt the providing critical treatment due to not organized health-care capacity. Along with, a greater amount of personnelabsence can be predictable. A lack of important kits and materials can lead to restricted supplies to desirable care and have a direct impact on healthcare delivery. Anxiety can lead to possibly hamper recognized operational practices. Also in hospitals dealing with COVID 19 pandemic can be a difficulty. In spite of the challenging difficulties and problems expected, the positive and organized execution of important basic and definite arrangements can aid successful hospital-based organization for the period of a speedily progressing epidemic. Hospital emergency preparedness is a constant progression that association to the complete preparedness platform. Several principles and suggestions drawn in this article are general and appropriate to other incidents. The article gives checklist which is proposed to manage current situationby hospital emergency preparation platforms.

Stepping up detection, response, preparedness and readiness measures for “COVID-19”- A Pandemic

2020 ◽  
Vol 11 (SPL1) ◽  
pp. 1042-1047
Author(s):  
Khushbu Balsara ◽  
Deepankar Shukla
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Clinical History ◽  
Frontline Workers ◽  
Diagnostic Assays ◽  
Care Workers ◽  
Short Period ◽  
History Of ◽  
Detection Response ◽  
Care Worker

In a very short period of time, “COVID-19” has seized the consciousness globally by making remarkable changes in our day to day living and has superintended as a public health emergency globally. It has high radar of transmission, affecting an individual at work to frontline workers. The measures and planning for a response plays a key role from drawing up an emergency committee and this follows an equation which broadly deals with epidemiological to clinical history of the patient, management steps from isolation, screening, diagnostic assays for identification and treatment. The application of an organized plan with secure structure aids in better performance, increases efficacy of management and saves time. Also saves time for a health care worker to g through routine levels of channels of administration if already a familiar way of operation is known for such situations. Thus, planning and developing a ‘blueprint of approach’ towards management of patient while facing such situation is a must. This review provides an insight to the measures for detection, response and preparedness of the hospital and health care workers should largely be inclusive of; also highlights the measures to be taken at every step after coming in contact with a positive case of “COVID-19”.

scholarly journals Innovative COVID-19 Programs to Rapidly Serve New Mexico

2020 ◽  
Vol 136 (1) ◽  
pp. 39-46
Author(s):  
Joanna G. Katzman ◽  
Laura E. Tomedi ◽  
Karla Thornton ◽  
Paige Menking ◽  
Michael Stanton ◽  
...  
Keyword(s):  
Public Health ◽  
Infectious Disease ◽  
Health Care ◽  
Critical Care ◽  
New Mexico ◽  
General Education ◽  
Health Care Providers ◽  
Healthcare Outcomes ◽  
Care Providers ◽  
Project Echo

Project ECHO (Extension for Community Healthcare Outcomes) at the University of New Mexico is a telementoring program that uses videoconferencing technology to connect health care providers in underserved communities with subject matter experts. In March 2020, Project ECHO created 10 coronavirus disease 2019 (COVID-19) telementoring programs to meet the public health needs of clinicians and teachers living in underserved rural and urban regions of New Mexico. The newly created COVID-19 programs include 7 weekly sessions (Community Health Worker [in English and Spanish], Critical Care, Education, First-Responder Resiliency, Infectious Disease Office Hours, and Multi-specialty) and 3 one-day special sessions. We calculated the total number of attendees, along with the range and standard deviation, per session by program. Certain programs (Critical Care, Infectious Disease Office Hours, Multi-specialty) recorded the profession of attendees when available. The Project ECHO research team collected COVID-19 infection data by county from March 11 through May 31, 2020. During that same period, 9765 health care and general education professionals participated in the COVID-19 programs, and participants from 31 of 35 (89%) counties in New Mexico attended the sessions. Our initial evaluation of these programs demonstrates that an interprofessional clinician group and teachers used the Project ECHO network to build a community of practice and social network while meeting their educational and professional needs. Because of Project ECHO’s large reach, the results of the New Mexico COVID-19 response suggest that the rapid use of ECHO telementoring could be used for other urgent national public health problems.

scholarly journals Development of a Global Health Teaching Fellowship for Global Health Care Capacity Building

2015 ◽  
Vol 81 (2) ◽  
pp. 298 ◽  
Author(s):  
Kathryn Mimno ◽  
Natasha Anushri Anandaraja ◽  
Sigrid Hahn
Keyword(s):  
Health Care ◽  
Global Health ◽  
Capacity Building ◽  
Global Health Care ◽  
Care Capacity ◽  
Health Teaching

NOSOCOMIAL INFECTION WITH ECHOVIRUS TYPE II IN HANDICAPPED AND PREMATURE INFANTS

PEDIATRICS ◽  
1973 ◽  
Vol 51 (4) ◽  
pp. 603-607
Author(s):  
Henry G. Cramblett ◽  
Ralph E. Haynes ◽  
Parvin H. Azimi ◽  
Milo D. Hilty ◽  
Michael H. Wilder
Keyword(s):  
Infectious Disease ◽  
Premature Infants ◽  
Index Case ◽  
Hand Washing ◽  
Type Ii ◽  
Bacterial Sepsis ◽  
Infectious Disease Unit ◽  
Short Period ◽  
Echovirus Type ◽  
Disease Unit

This report describes an outbreak of nosocomial infections due to echovirus type 11 among premature and/or handicapped infants in an intensive care unit. Four patients became ill within a short period of time and echovirus 11 was recovered from several of their specimens. The illnesses were clinically suggestive of bacterial sepsis and/or bacterial meningitis. Each of the four infants who became ill was in an isolette for a period of from 20 to 54 days before onset of illness. Three of the four patients became ill within 24 hours of one another which suggested a common exposure at nearly the same time. No index case could be identified, but it appears that this outbreak of enteroviral infections was due to inadequate hand washing by personnel. The outbreak was halted by removing the infants to an infectious disease unit and by closing the involved unit to new admissions for seven days.

scholarly journals Digital Endpoints: Definition, Benefits, and Current Barriers in Accelerating Development and Adoption

2021 ◽  
pp. 216-223
Author(s):  
Matthew Landers ◽  
Ray Dorsey ◽  
Suchi Saria
Keyword(s):  
Health Care ◽  
Interdisciplinary Collaboration ◽  
Clinical Status ◽  
Direct Interaction ◽  
Living Environment ◽  
Assessment Tools ◽  
Rapid Expansion ◽  
Sufficient Evidence ◽  
Cooperative Effort ◽  
Remote Patient

The assessment of health and disease requires a set of criteria to define health status and progression. These health measures are referred to as “endpoints.” A “digital endpoint” is defined by its use of sensor-generated data often collected outside of a clinical setting such as in a patient’s free-living environment. Applicable sensors exist in an array of devices and can be applied in a diverse set of contexts. For example, a smartphone’s microphone might be used to diagnose or predict mild cognitive impairment due to Alzheimer’s disease or a wrist-worn activity monitor (such as those found in smartwatches) may be used to measure a drug’s effect on the nocturnal activity of patients with sickle cell disease. Digital endpoints are generating considerable excitement because they permit a more authentic assessment of the patient’s experience, reveal formerly untold realities of disease burden, and can cut drug discovery costs in half. However, before these benefits can be realized, effort must be applied not only to the technical creation of digital endpoints but also to the environment that allows for their development and application. The future of digital endpoints rests on meaningful interdisciplinary collaboration, sufficient evidence that digital endpoints can realize their promise, and the development of an ecosystem in which the vast quantities of data that digital endpoints generate can be analyzed. The fundamental nature of health care is changing. With coronavirus disease 2019 serving as a catalyst, there has been a rapid expansion of home care models, telehealth, and remote patient monitoring. The increasing adoption of these health-care innovations will expedite the requirement for a digital characterization of clinical status as current assessment tools often rely upon direct interaction with patients and thus are not fit for purpose to be administered remotely. With the ubiquity of relatively inexpensive sensors, digital endpoints are positioned to drive this consequential change. It is therefore not surprising that regulators, physicians, researchers, and consultants have each offered their assessment of these novel tools. However, as we further describe later, the broad adoption of digital endpoints will require a cooperative effort. In this article, we present an analysis of the current state of digital endpoints. We also attempt to unify the perspectives of the parties involved in the development and deployment of these tools. We conclude with an interdependent list of challenges that must be collaboratively addressed before these endpoints are widely adopted.

scholarly journals Rapid Deployment and Application Exploration of the Mobile Shelter Laboratories Under T He Outbreak of COVID-19 Epidemic

2021 ◽  
Author(s):  
Yi Luan ◽  
Rui Ding ◽  
Wenshen Gu ◽  
Xiaofan Zhang ◽  
Xinliang Chen ◽  
...  
Keyword(s):  
Large Scale ◽  
Mainland China ◽  
Reference Value ◽  
Guangdong Province ◽  
Real Data ◽  
Practical Experience ◽  
Rapid Expansion ◽  
Nucleic Acid Detection ◽  
Short Period ◽  
Detection Capabilities

Abstract Since the end of 2019, the COVID-19 epidemic has swept the world. With the widespread spread of the COVID-19 and the continuous emergence of mutated strains, the situation for the prevention and control of the COVID-19 epidemic remains severe. On May 21, 2021, Guangzhou City, Guangdong Province, notified the discovery of a new locally confirmed case. Guangzhou became the first city in mainland China to compete with the delta mutant strain. As a local hospital with strong nucleic acid detection capabilities, Sun Yat-sen University Sun Yat-sen Memorial Hospital took the lead in launching the construction and deployment of the Mobile Shelter Laboratories and large-scale screening work in Foshan and Zhanjiang, Guangdong Province. Through summarizing "practical" experience, observation and comparison data analysis, we use real data to verify a feasible solution for rapid expansion of detection capabilities in a short period of time. We hope that these experiences will have certain reference value for other countries or regions, especially the underdeveloped areas of medical and health care.

scholarly journals On the Concept of Criminological Ratios of Unintentional Crime in Medical Assistance Rendering

2020 ◽  
Vol 11 ◽  
pp. 31-34
Author(s):  
Polina G. Gabay ◽  
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Health Workers ◽  
Medical Personnel ◽  
Practical Significance ◽  
Healthcare Sector ◽  
Legal Analysis ◽  
Medical Assistance ◽  
Personal Relations

Purpose. To study the indices of carelessness in the provision of medical care from a criminological standpoint. Methodology: it includes the following methods: historical and legal, comparative legal, analysis and forecasting. Conclusions. 1. Elements of everyday carelessness in health care can be distinguished only conditionally and only in the sphere of relations that are within the framework of personal relations between medical personnel and patients. 2. The structure of health crime includes three groups of crimes: professional crimes of health workers; malfeasance of employees of the studied area; crimes, the responsibility for which arises for these subjects along with other persons. Scientific and practical significance. The conclusions presented in the article are aimed at increasing the effectiveness of counteracting careless criminality in the healthcare sector in the provision of medical care.

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