scholarly journals 227 Multiple Outbreak Of SARS-COVID-19 In Surgical Wards at The Tertiary Hospital

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
B B Karki ◽  
S Mohammad ◽  
W Chung ◽  
A Eltweri ◽  
T Sauodi ◽  
...  
Keyword(s):  
Tertiary Hospital ◽  
Test Results ◽  
Social Distancing ◽  
Staff Members ◽  
Preventative Measures ◽  
Laboratory Capacity ◽  
Risk Areas ◽  
Communal Areas ◽  
Initial Source ◽  
Source Number

Abstract Background Since the second surge of SARS-COVID-19 on 18th of September, additional several measures were introduced, and pathways created in order to execute safe surgical practices and protect both patients and staff from SARS-COVID-19. Despite these measures, there have been reported cases of outbreaks in various parts of UK amongst patients and clinical staff. Method Three outbreaks in the past 6 weeks (10, September 2020 to 21, October 2020) were reported in our surgical wards and we compiled the timing, initial source, number of affected individuals and immediate management steps taken. Results Following the first outbreak on wards, 28-day surveillance helped us understand responsible variants. Several staff members were found walking out of hospital, in groups once they had removed their PPEs. Communal lunching with inadequate social distancing, attending work with symptoms (albeit atypical for COVID), sharing cars to/from work or not wearing PPE correctly were highlighted in the subsequent investigations. The reduction in number of affected individuals during the last two incidents reflected a degree of efficacy of the implemented preventative measures, which were reviewed again following the subsequent incidents. Conclusions In the present climate, a robust and prompt response to outbreaks is required. Continual iteration with regards to the need for PPE, adequate social distancing and avoiding over-crowding in communal areas is paramount to reduce the probability of ward outbreaks and inter-professional transmission. Asymptomatic staff testing, particularly in high-risk areas could also be considered but would require adequate laboratory capacity and rapid turnaround of test results.

scholarly journals Psychological impact and implementation of preventative measures in hemodialysis centers during the COVID-19 pandemic: a provincial questionnaire survey in China

2021 ◽  
Author(s):  
Yuanhan Chen ◽  
Yanhua Wu ◽  
Penghua Hu ◽  
Xia Fu ◽  
Shuangxin Liu ◽  
...  
Keyword(s):  
Rural Areas ◽  
Questionnaire Survey ◽  
Medical Staff ◽  
Psychological Impact ◽  
Guangdong Province ◽  
Psychological Status ◽  
Staff Members ◽  
Preventative Measures ◽  
Tertiary Hospitals ◽  
Novel Coronavirus

Abstract Objectives This study investigated the psychological status of patients and staff, and the implementation of preventative measures in hemodialysis centers in Guangdong province, China, during the 2019 novel coronavirus disease (COVID-19) pandemic. Methods An electronic questionnaire survey was carried out anonymously between March 28 and April 3, 2020. All of the 516 hemodialysis centers registered in Guangdong province were invited to participate in the survey. The questionnaires were designed to investigate the psychological status of hemodialysis patients and general staff members (doctors, nurses, technicians, and other staff), and to address the implementation of preventative measures for administrators (directors or head nurses) of the hemodialysis centers. Results A total of 1782 patients, 3400 staff, and 420 administrators voluntarily participated in this survey. Patients living in rural areas reported a higher incidence of severe anxiety compared to those living in other areas (in rural areas, towns, and cities, the incidence rate was 17.0%, 9.0%, and 8.9%, respectively, P < 0.001). Medical staff were less likely to worry about being infected than non-medical staff (13.1% vs 30.3%, respectively, P < 0.001). With respect to the implementation of preventative measures, hemodialysis centers in general hospitals outperformed stand-alone blood purification centers, while tertiary hospitals outperformed hospitals of other levels. However, restrictions regarding the admission of non-resident patients were lower in tertiary hospitals than in other hospitals. In this situation, only one patient imported from Hubei province was diagnosed with COVID-19. Conclusions COVID-19 did not significantly affect the psychological status of most patients and medical staff members. Due to the implementation of comprehensive preventative measures, there were no cluster outbreaks of COVID-19 in hemodialysis centers. This provincial-level survey may provide referential guidance for other countries and regions that are experiencing a similar pandemic.

Is Primary Cytomegalovirus Infection an Occupational Hazard for Obstetric Nurses? A Serological Study

1986 ◽  
Vol 7 (9) ◽  
pp. 452-455 ◽  
Author(s):  
Lawrence I. Hatherley
Keyword(s):  
Cytomegalovirus Infection ◽  
Cross Infection ◽  
Pediatric Nurses ◽  
Occupational Hazard ◽  
Serological Study ◽  
Cmv Infection ◽  
Staff Members ◽  
Obstetric Nurses ◽  
Risk Areas ◽  
Primary Cytomegalovirus Infection

AbstractThe results are reported of a 4-year prospective study of the incidence of primary cytomegalovirus (CMV) infection in the nursing staff of a specialist obstetric hospital. The absence of seroconversion found in personnel attending patients with confirmed CMV-infection justifies reassuring staff members in “high-risk” areas of the adequacy of the methods used to combat cross-infection . On the other hand, a low rate of seroconversion (1.2% per annum) in the staff who nurse normal mothers and “rooming-in” babies emphasizes the need for die rigorous observance of hygienic precautions by all personnel in all areas. The results of this Australian investigation are discussed in relation to the northern hemisphere experience of CMV-seroconversion in pediatric nurses.

scholarly journals Maternal experiences of caring for preterm infants in a vulnerable South African population

2021 ◽  
Vol 26 ◽  
Author(s):  
Kristen Buys ◽  
Berna Gerber
Keyword(s):  
Preterm Infants ◽  
Well Being ◽  
Tertiary Hospital ◽  
Main Concern ◽  
Western Cape ◽  
Cross Sectional ◽  
Traditional Medicines ◽  
Staff Members ◽  
Continued Education ◽  
Maternal Coping

Background: Caring for a preterm infant is known to be a stressful experience as these infants are at a high risk of medical sequelae and developmental delays. Early intervention is imperative for the best developmental outcome for the infant. Such interventions are often delivered through the mother or primary caregiver; however, healthcare professionals are seldom aware of all the factors that influence maternal well-being, potentially influencing her ability to provide optimal care.Aim: To explore the experiences of a group of vulnerable women, namely, isiXhosa-speaking mothers of preterm infants living in low socio-economic circumstances in the Western Cape province of South Africa, regarding having, caring for and feeding their preterm infants within the first 6 months of the infant’s life.Setting: A follow-up clinic for preterm infants and their mothers at a public tertiary hospital in Cape Town, South Africa.Methods: The study employed a qualitative, cross-sectional design that was explorative and contextual in nature. A discussion schedule was used to guide 15 in-depth interviews with mothers that were later thematically analysed.Results: Social support and religion positively influenced maternal coping. The infant’s medical stability was the main concern for mothers and concerns regarding the infant’s development did not arise. Prematurity influenced mothers’ decisions to use traditional medicines and hospital care affected some traditional practices.Conclusion: The study findings highlighted the influence of traditional and religious beliefs, the importance of the cultural education of medical staff members and a support system to improve maternal experiences.Contribution: The findings provide insights into maternal experiences with implications for healthcare practitioners’ continued education in an ethnically diverse setting.

scholarly journals Assessment of the current practice of antibiotic skin testing in a tertiary Hospital in United Arab Emirates

2011 ◽  
Vol 5 (11) ◽  
pp. 759-764 ◽  
Author(s):  
Shemeena AbdulAzeez ◽  
Ghada Khalil Al Tajir ◽  
Hana Sulieman
Keyword(s):  
United Arab Emirates ◽  
Current Practice ◽  
Skin Testing ◽  
Standard Technique ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Skin Tests ◽  
Test Results ◽  
Cross Sectional ◽  
Negative Results

Introduction: Skin testing can be a useful diagnostic tool to identify patients who are allergic to penicillin. Procedures for skin testing in the United Arab Emirates have not been standardized. The aim of this study was to examine the current practice of antibiotic skin testing in a tertiary hospital in the United Arab Emirates (UAE). Methodology: This was a prospective cross-sectional study conducted in Al Qassimi Hospital, in which the medical records of all patients who were prescribed antibiotics over an eight-week period were screened to evaluate patients' history, indication for performing the test, results, and documentation of findings. Results: During the study period 357 patients received parenteral antibiotics, of which 238 had one skin test, 21 had two skin tests, and one patient had four skin tests. Skin testing was performed without regard for patient history. Documentation of both positive and negative results was poor. There was no standard technique for skin testing used within the institution, and significant variations were noted between wards. In most cases the techniques used deviated from recommended procedures in the medical literature. Conclusions: Standardized guidelines for antibiotic skin testing should be established and implemented as soon as possible using recommended international guidelines.

scholarly journals MEDIA PROMOSI KESEHATAN KESIAPSIAGAAN MENGHADAPI VIRUS CORONA (COVID-19)

2021 ◽  
Vol 2 (2) ◽  
pp. 53-58
Author(s):  
Emy Sutiyarsih
Keyword(s):  
Public Awareness ◽  
Initial Assessment ◽  
Family Welfare ◽  
Test Results ◽  
Health Awareness ◽  
Social Distancing ◽  
Corona Virus ◽  
Post Test ◽  
Close Relatives ◽  
Partnership Program

ABSTRAK   Kegiatan Program Kemitraan Masyarakat “Media Promosi Kesehatan Kesiapsiagaan Menghadapi Virus Corona (Covid-19)” diawali dengan pengkajian awal terhadap keadaaan di kota Malang. Pengkajian awal didapatkan permasalahan bahwa semakin bertambahnya angka kejadian penyakit Corona (Covid-19) di Kota Malang. Bedasarkan data dari Dinas Kesehatan Kota Malang, penambahan tersebut karena ada transmisi dari kerabat dekat atau keluarga pasien positif Covid-19. Kegiatan Promosi Kesehatan Kesiapsiagaan Menghadapi Virus Corona (Covid-19) diawali dengan pengisian pretest melalui googleform selanjutnya dilaksanakan Kegiatan penyampaian materi Kesiapsiagaan Menghadapi Virus Corona (Covid-19) secara daring dengan menunjukkan cara memakai dan melepas masker yang benar, cara mencuci tangan yang benar, pelaksanaan social distancing, Etika batuk dan bersin dengan menggunakan media video yang di share di grup WhatsApp ibu PKK RT 05, grup WhatsApp ibu PKK RT 06, grup WhatsApp ibu Wanita Katholik Wilayah Yohanes Pemandi 2X seminggu selama 1 bulan. Hasil postest menunjukkan ada peningkatan pengetahuan ibu-ibu tentang pencegahan penyebaran virus corona. Dengan adanya penambahan pengetahuan dan pengingkatan kesadaran masyarakat mengenai kesiapsiagaan menghadapi virus corona, diharapkan dapat meningkatkan kepatuhan dalam melakukan pencegahan penyebaran virus corona dalam kehidupan sehari-hari pada keluarga.   Kata Kunci: promosi, kesehatan, virus corona   ABSTRACT   Community Partnership Program "Media Promotion of Health Awareness Facing Corona Virus (COVID-19)" begins with an initial assessment of the situation in Malang. Initial assessment was obtained that the increasing incidence of Corona disease (COVID-19) was found in Malang. Based on data from the Malang City Health Office, the addition is due to transmission from close relatives or families with positive COVID-19. Health Awareness Promotion Activities Facing Corona Virus (COVID-19) begins with pretest by google form. Furthermore, we provide material explanation of Corona Virus Preparedness (COVID-19) online by showing how to wear and remove the correct mask, how to wash hands with WHO standards, examples of social distancing, how to coughing and sneezing properly using video media shared in WhatsApp groups. WhatsApp group includes the empowerment of family welfare (Pemberdayaan Kesejahteraan Keluarga/PKK) group RT 05, RT 06, and the WKRI Group of John Baptism Region whose presentation was conducted twice a week in a month. Post-test results showed there was an increase in knowledge in each group about the prevention of the spread of coronavirus. The addition of knowledge and increased public awareness about the preparedness to face the corona virus, is expected to increase compliance in preventing the spread of coronavirus in daily life in their families.   Keywords: promotion, health, COVID-19

scholarly journals COVID-19 Prevention Beliefs and Practices in College Students

2021 ◽  
Author(s):  
Caitlyn Cassimatis ◽  
Liga Kreitner ◽  
Abdoulie Njai ◽  
Emily Leary ◽  
Aaron Gray
Keyword(s):  
College Students ◽  
Rural Areas ◽  
Latino Students ◽  
Hispanic Students ◽  
The United States ◽  
Prevention Measures ◽  
Beliefs And Practices ◽  
Social Distancing ◽  
Preventative Measures ◽  
Prevention Guidelines

ABSTRACTBackgroundAs college students in the United States return to university campuses, it is important to understand their beliefs and practices on coronavirus disease 2019 (COVID-19) prevention.PurposeTo assess beliefs and practices regarding COVID-19 prevention among college students in the United StatesMethodsAn online, self-administered survey was developed that collected information on COVID-19 preventative practice and beliefs. Survey responses were collected between July 13, 2020 and July 31, 2020.ResultsA total of 4,834 college students participated in the survey with a response rate of 22.9%. Compared to males, more female college students practiced COVID-19 preventative measures, including always wearing masks or face coverings in public (52% vs. 44%, p<0.001) and always or often observing social distancing (70% vs. 63%, p<0.001). In contrast to students from larger population areas, fewer college students from rural areas reported practicing prevention measures, such as always wearing a mask (24% rural v. 45% towns vs. 55% cities, p<0.001) and always social distancing (20% rural vs. 21% towns vs. 29% cities, p<0.001). Additionally, more students from rural areas have become much less worried about personally contracting COVID-19 over the last 3 months when compared to students from towns and cities (21% vs. 16% vs. 11%, p<0.001). Fewer white college students compared to other racial groups thought it was very important to wear masks (55% white vs. 76% Black vs. 82% Asian vs. 63% American Indian or Alaskan native (AIAN) & Native Hawaiian or Other Pacific Islander (NHOPI), p<0.001) and very important to practice social distancing (29% white vs. 50% Black vs. 53% Asian vs. 36% AIAN/NHOPI, p <0.001). Compared to Non-Hispanic students, more Hispanic students thought it was very important to practice preventative measures, including wearing a mask (71% vs. 58%, p<0.001), social distancing (37% vs. 32%, p=0.017), and good hand hygiene (77% vs. 67%, p=0.013).ConclusionCOVID-19 prevention beliefs and practices differ between sexes, the size of town one lives, race, and ethnicity. In general, female students followed Center for Disease Control and Prevention (CDC) COVID-19 prevention guidelines more closely than male students. Students who reside in areas of larger populations have more strict COVID-19 prevention beliefs and practices than students from areas with smaller populations. Asian and Black/African American students adhered closer to CDC COVID-19 prevention guidelines and had stronger beliefs for infection prevention measures than white or AIAN/NHOPI students. Hispanic/Latino students were more stringent in COVID-19 prevention beliefs and practices than non-Hispanic/Latino students.

scholarly journals Impact of social distancing on the spread of common respiratory viruses during the coronavirus disease outbreak

PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0252963
Author(s):  
Min-Chul Kim ◽  
Oh Joo Kweon ◽  
Yong Kwan Lim ◽  
Seong-Ho Choi ◽  
Jin-Won Chung ◽  
...  
Keyword(s):  
Respiratory Virus ◽  
Test Results ◽  
Virus Infections ◽  
Social Distancing ◽  
The Social ◽  
Level 3 ◽  
The Mean ◽  
Common Respiratory Virus ◽  
Respiratory Virus Infections ◽  
Pcr Test

During the coronavirus disease (COVID-19) pandemic, social distancing was effective in controlling disease spread across South Korea. The impact of national social distancing on the spread of common respiratory virus infections has rarely been investigated. We evaluated the weekly proportion of negative respiratory virus polymerase chain reaction (PCR) test results and weekly positive rates of each respiratory virus during the social distancing period (10th–41st weeks of 2020) and the corresponding period in different years, utilizing the national respiratory virus surveillance dataset reported by the Korean Center for Disease Control and Prevention. The proportions of negative respiratory virus PCR test results increased up to 87.8% and 86.1% during level 3 and level 2 of the social distancing period, respectively. The higher the level of social distancing, the higher the proportion of negative respiratory virus PCR test results. During the social distancing period, the mean weekly positive rates for parainfluenza virus, influenza virus, human coronavirus, and human metapneumovirus were significantly lower than those during the same period in 2015–2019 (0.1% vs. 9.3%, P <0.001; 0.1% vs. 7.2%, P <0.001; 0.4% vs. 2.3%, P <0.001; and 0.2% vs. 5.3%, P <0.001, respectively). The mean positive rate for rhinovirus/enterovirus during level 3 social distancing was lower than that in the same period in 2015–2019 (8.5% vs. 19.0%, P <0.001), but the rate during level 1 social distancing was higher than that in the same period in 2015–2019 (38.3% vs. 19.4%, P <0.001). The national application of social distancing reduced the spread of common respiratory virus infections during the COVID-19 pandemic.

scholarly journals Red reflex test at the maternity hospital: results from a tertiary hospital and variables associated with inconclusive test results

2020 ◽  
Vol 96 (6) ◽  
pp. 748-754
Author(s):  
Vinicius Mac Cord Lanes Baldino ◽  
Gabriela Unchalo Eckert ◽  
Juliana Rossatto ◽  
Mário Bernardes Wagner
Keyword(s):  
Tertiary Hospital ◽  
Maternity Hospital ◽  
Test Results

Too Few, Too Little: Parliaments’ Response to Sexism and Sexual Harassment

2020 ◽  
Author(s):  
Tània Verge
Keyword(s):  
Sexual Harassment ◽  
Organisational Culture ◽  
Political Life ◽  
International Organisations ◽  
Staff Members ◽  
Preventative Measures ◽  
Power Asymmetries ◽  
The World ◽  
Elected Representatives

Abstract Despite the increasingly reported incidence of sexual harassment among female elected representatives and staff members around the world, many more cases may not surface due to the power asymmetries, partisan logics and male organisational culture underpinning parliaments. No workplace is immune to sexual harassment, but when such misconducts occur in parliaments women’s right to fully and equally participate in political life is severely infringed. While international organisations have issued numerous resolutions calling parliaments to take action, this article shows that most legislative chambers in Europe and the Americas lag behind the adoption of adequate preventative measures, complaint mechanisms and reparation measures.

scholarly journals Nightlife clusters of coronavirus disease in Tokyo between March and April 2020

2020 ◽  
Vol 148 ◽  
Author(s):  
S. Takaya ◽  
S. Tsuzuki ◽  
K. Hayakawa ◽  
A. Kawashima ◽  
A. Okuhama ◽  
...  
Keyword(s):  
Propensity Score ◽  
Severe Acute Respiratory Syndrome ◽  
Propensity Score Matching ◽  
Tertiary Hospital ◽  
Test Results ◽  
Inclusive Approach ◽  
Pcr Test

Abstract We analysed associations between exposure to nightlife businesses and severe acute respiratory syndrome coronavirus 2 PCR test results at a tertiary hospital in Tokyo between March and April 2020. A nightlife group was defined as those who had worked at or visited the businesses. We included 1517 individuals; 196 (12.9%) were categorised as the nightlife group. After propensity score matching, the proportion of positive PCR tests in the nightlife group was significantly higher than that in the non-nightlife group (nightlife, 63.8%; non-nightlife, 23.0%; P < 0.001). An inclusive approach to mitigate risks related to the businesses needs to be identified.

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