scholarly journals EP.TU.651Training Opportunity In A Non Covid Private Hospital During The Initals Phase Of Sars-Cov-2 Pandemic-Our Experience

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Mayank Bhandari ◽  
Suvi Virupaksha ◽  
Palanivel raju Gopalakrishnan ◽  
Milind Rao ◽  
Gopinath Bussa ◽  
...  
Keyword(s):  
Private Hospital ◽  
Elective Surgery ◽  
Operating Time ◽  
Turnover Time ◽  
North East ◽  
The North ◽  
Surgical Trainees ◽  
Safe Anesthesia ◽  
Retrospective Data Collection ◽  
Chest X Ray

Abstract Aim We would like to share our experience in the unique opportunity our surgical trainees had, while operating in a NON COVID private hospital. Methods We did a retrospective data collection from 1st of April till 31st May 2020. The data was collected about the patients who underwent elective surgery in a non COVID private hospital selected by our NHS trust. The selected patients were asked to self-isolate for 2 weeks prior to surgery date. They also underwent 2 swab tests, the first one a week before and another one 48 hours before the surgery date along with a chest X-ray. Only the patients who tested negative on swabs were operated in the private setup. Results There were 17 elective laparoscopic cholecystectomies and 42 breast surgeries performed. The primary operating surgeon were trainees in around 80 percent cases. Ours was the first NHS trust to start this in the North East England. There was no increase in operating time, but the turnover time was nearly doubled because the guidelines for safe anesthesia and surgery during this pandemic were strictly followed. We did not have any complications or readmission related to surgery in this cohort of patients. There was no reported SARS-CoV-2 infection to patients and the involved medical staff. Conclusion The opportunity for continuity of surgical training in a private setup is a possibility and should be explored more in future.

When can I drive? Advising patients when to drive after general surgical procedures

2018 ◽  
Vol 23 (6) ◽  
pp. 239-242
Author(s):  
Steven Dixon ◽  
Sean Woodcock
Keyword(s):  
Surgical Procedures ◽  
Online Survey ◽  
Insurance Companies ◽  
Medical Practitioners ◽  
North East ◽  
The North ◽  
Surgical Trainees ◽  
General Surgeons ◽  
Surgical Teams ◽  
The Uk

Introduction Advising patients when they are medically fit to drive following general surgical procedures is crucial to minimise risk to patients, the general public as road user’s and pedestrians and also avoid negligence claims against medical practitioners. Historically, in the UK, this advice has come from a number of sources including surgeons, general practitioners, insurers and the Driver and Vehicle Licensing Agency (DVLA). The aim of this study was to review how current surgical teams distribute this advice and what this advice is based upon. Materials and methods An online survey was devised and distributed to all consultant general surgeons and trainees in the North East of England via email. Leading vehicle insurance companies and the DVLA were contacted to assess what advice they gave for specific procedures (ventral hernia, appendicectomy, cholecystectomy, fundoplication). Results A total of 135 surveys were distributed, 56 were returned, with a response rate of 41.5%. Twenty-two (39.3%) of respondents were consultants, 30 (53.6%) were speciality trainees (ST3-8) and 4 (7.1%) were core surgical trainees (CT1-2). Some (14.2%) gave driving advice to every patient, 39.3% gave advice to most patients; 42.9% gave advice pre-operatively in clinic, 39.3% gave the advice pre-operatively on the day of surgery, and 96.4% of responders based their advice on traditional teaching. Discussion and conclusions: There is variation in the content and timing of advice regarding driving after general surgical procedures. This inconsistency will undoubtedly lead to incorrect information being distributed to patients and will impact post-operative patient safety. We suggest formulating consistent advice in a written format, standardising the process which in turn will protect patients and surgeons.

Ras al Khaimah: further archaeological discoveries

Antiquity ◽  
1976 ◽  
Vol 50 (200) ◽  
pp. 216-222
Author(s):  
Beatrice De Cardi
Keyword(s):  
United Arab Emirates ◽  
The State ◽  
Focused Attention ◽  
North East ◽  
The North ◽  
History Of ◽  
The City

Ras a1 Khaimah is the most northerly of the seven states comprising the United Arab Emirates and its Ruler, H. H. Sheikh Saqr bin Mohammad al-Qasimi, is keenly interested in the history of the state and its people. Survey carried out there jointly with Dr D. B. Doe in 1968 had focused attention on the site of JuIfar which lies just north of the present town of Ras a1 Khaimah (de Cardi, 1971, 230-2). Julfar was in existence in Abbasid times and its importance as an entrep6t during the sixteenth and seventeenth centuries-the Portuguese Period-is reflected by the quantity and variety of imported wares to be found among the ruins of the city. Most of the sites discovered during the survey dated from that period but a group of cairns near Ghalilah and some long gabled graves in the Shimal area to the north-east of the date-groves behind Ras a1 Khaimah (map, FIG. I) clearly represented a more distant past.

Lichens in the North-East regions of Cyprus

1999 ◽  
Vol 110 (5-6) ◽  
pp. 455-463 ◽  
Author(s):  
S. Güvenç ◽  
Ş Öztürk
Keyword(s):  
North East ◽  
The North

TBE in Italy

2019 ◽  
Author(s):  
Valentina Tagliapietra ◽  
Flavia Riccardo ◽  
Giovanni Rezza
Keyword(s):  
Case Series ◽  
East Part ◽  
Mountainous Regions ◽  
North East ◽  
The North ◽  
Tick Borne Encephalitis ◽  
Low Incidence

Italy is considered a low incidence country for tick-borne encephalitis (TBE) in Europe. Areas at higher risk for TBE in Italy are geographically clustered in the forested and mountainous regions and provinces in the north east part of the country, as suggested by TBE case series published over the last decade.

TBE in Italy

2020 ◽  
Keyword(s):  
Surveillance System ◽  
Ad Hoc ◽  
National Level ◽  
Case Series ◽  
Incidence Rates ◽  
Mountainous Regions ◽  
North East ◽  
The North ◽  
Tick Borne Encephalitis ◽  
Low Incidence

Italy is considered a low-incidence country for tick-borne encephalitis (TBE) in Europe.1 Areas at higher risk for TBE in Italy are geographically clustered in the forested and mountainous regions and provinces in the north east part of the country, as suggested by TBE case series published over the last decade.2-5 A national enhanced surveillance system for TBE has been established since 2017.6 Before this, information on the occurrence of TBE cases at the national level in Italy was lacking. Both incidence rates and the geographical distribution of the disease were mostly inferred from endemic areas where surveillance was already in place, ad hoc studies and international literature.1

The influence of submesoscale eddies on hydrochemical parameters and structural and functional characteristics of phytoplankton in the north-eastern part of the Black Sea

2019 ◽  
pp. 24-40
Author(s):  
Sergey B. Kuklev ◽  
Vladimir A. Silkin ◽  
Valeriy K. Chasovnikov ◽  
Andrey G. Zatsepin ◽  
Larisa A. Pautova ◽  
...  
Keyword(s):  
Anticyclonic Eddy ◽  
The Black Sea ◽  
Hydrochemical Parameters ◽  
North East ◽  
The North ◽  
Seasonal Thermocline ◽  
North Eastern ◽  
Quantitative Indicators ◽  
The City ◽  
North Eastern Part

On June 7, 2018, a sub-mesoscale anticyclonic eddy induced by the wind (north-east) was registered on the shelf in the area of the city of Gelendzhik. With the help of field multidisciplinary expedition ship surveys, it was shown that this eddy exists in the layer above the seasonal thermocline. At the periphery of the eddy weak variability of hydrochemical parameters and quantitative indicators of phytoplankton were recorded. The result of the formation of such eddy structure was a shift in the structure of phytoplankton – the annual observed coccolithophores bloom was not registered.

Engineering-Geological Studies Of The Territory, Soils Of Foundation And Foundations Of The Architectural Monument Of The "Melnikov’s House" In Moscow

2019 ◽  
pp. 41-51
Keyword(s):  
Working Condition ◽  
Overlying Water ◽  
North East ◽  
The North ◽  
Geological Processes ◽  
Architectural Monument ◽  
Geological Conditions ◽  
Zone Of Influence ◽  
Complex Engineering ◽  
Building Engineering

On the basis of engineering and design surveys of the building, engineering-geological and geophysical studies of the soils of the territory conducted by the article authors, as well as with due regard for the results of studies conducted on this territory by other authors, the features of the foundations, soils of their foundation and engineering-geological conditions of the territory of the Melnikov House are established. It is shown that the Melnikov house is located under complex engineering-geological conditions on the territory of high geological risk, in the zone of influence of tectonic disturbance. To the North of the area there is a zone of intersection of the observed disturbance with a larger disturbance that can have an impact on geological processes. To the North-East of the site of the Melnikov House, a sharp immersion of the roof of carbon deposits was revealed. It promotes groundwater seepage into limestone of the carbonate strata from overlying water-bearing sands and activation of processes of suffusion removal and sinkhole phenomena of the soil. The surveyed area is assessed as potentially karst-hazardous and adjacent to it from the North-East territory as karst-dangerous. In this regard any construction on the adjacent territory can provoke activation of sinkhole phenomena on the surface. The foundations of the building are basically in working condition. Existing defects can be eliminated during repair. The foundation soils mainly have sufficient bearing capacity. Areas of the base with bulk soil can be reinforced. However, when developing a project for the reconstruction of the building and its territory, it should be taken into account that the design of the Melnikov House does not provide for its operation on the loads at the formation of sinkholes.

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