scholarly journals 59 Impact of A Mature Burn Telemedicine Program On Inpatient, Outpatient, and Aftercare Programs During COVID19.

2021 ◽  
Vol 42 (Supplement_1) ◽  
pp. S42-S43
Author(s):  
Bruce Bennett ◽  
Burn Surgery ◽  
Trauma Surgery ◽  
Heidi M Altamirano ◽  
Mark Johnston
Keyword(s):  
Patient Care ◽  
Support Groups ◽  
Occupational Therapists ◽  
Time Frame ◽  
Burn Injuries ◽  
Stressful Event ◽  
Program Coordinators ◽  
Weekly Meeting ◽  
The Face ◽  
Partnership Approach

Abstract Introduction In 2014, a multidisciplinary burn telemedicine program was developed in order to increase access of burn specialists and improve care. This proved to be beneficial in the face of the pandemic through utilization of existing programs and development of new processes. Methods The basis of this burn telemedicine program utilizes a partnership approach. Visit types include inpatient and outpatient consultation, with visits occurring in in-patient settings, emergency departments, out-patient clinics, and in patient’s homes. During the COVID 19 pandemic, a weekly meeting was held with telemedicine program and clinic leadership, program coordinators, and our burn surgeon to triage patients to telemedicine or inpatient visit types. This often required the nursing staff to contact the patients to obtain more information about the injury and help them to securely upload photographs. The telemedicine visits were primarily video visits occurring either in clinic settings or the patient’s home. The burn psychotherapist and occupational therapists also utilized telemedicine for patient care. In addition, aftercare support groups, which originally were held twice each month onsite, transitioned to video and increased to three times. Telemedicine is also being utilized for school re-entry programming and the annual burn camps. The program is also tracking reimbursement for telemedicine activities. Results The pandemic resulted in a significant increase of telemedicine visits as compared to in person clinic visits often occurring directly into the patient’s homes. A greater number of burn patients were seen overall than previous to this process. Attached graphs show the comparison of in person visits compared to telemedicine visits during this time frame. Additional data will be presented showing the breakdown of visit location, provider (psychotherapist versus surgeon for example), and usage with aftercare programming. Conclusions This telemedicine program with established processes and partnerships, allowed transitioning alternative care due to the pandemic to be less stressful event. Benefits to patient care included the ability of the multidisciplinary burn team to see more patients safely via video especially in their own homes and allowed continuation and expansion of aftercare support. Challenges experienced included needing additional staff to ensure patients were triaged appropriately, scheduling of visits, and technology training for patients and families, and to ensure that patients were receiving medications and dressings as needed. The increased volume of patients seen could be attributed to more frequent visits and an increased volume of burn injuries.

scholarly journals Impact of an in-house emergency radiologist on report turnaround time

CJEM ◽  
2015 ◽  
Vol 17 (1) ◽  
pp. 21-26 ◽  
Author(s):  
Leslie Lamb ◽  
Paria Kashani ◽  
John Ryan ◽  
Guy Hebert ◽  
Adnan Sheikh ◽  
...  
Keyword(s):  
Patient Care ◽  
Emergency Radiology ◽  
Time Frame ◽  
Turnaround Time ◽  
Time Interval ◽  
Final Report ◽  
Radiology Resident ◽  
Cross Sectional ◽  
Patient Disposition ◽  
Report Turnaround Time

AbstractBackgroundOne of the many challenges facing emergency departments (EDs) across North America is timely access to emergency radiology services. Academic institutions, which are typically also regional referral centres, frequently require cross-sectional studies to be performed 24 hours a day with expedited final reports to accelerate patient care and ED flow.ObjectiveThe purpose of this study was to determine if the presence of an in-house radiologist, in addition to a radiology resident dedicated to the ED, had a significant impact on report turnaround time.MethodsPreliminary and final report turnaround times, provided by the radiology resident and staff, respectively, for patients undergoing computed tomography or ultrasonography of their abdomen/pelvis in 2008 (before the implementation of emergency radiology in-house staff service) were compared to those performed during the same time frame in 2009 and 2010 (after staffing protocols were changed).ResultsA total of 1,624 reports were reviewed. Overall, there was no statistically significant decrease in the preliminary report turnaround times between 2008 and 2009 (p = 0.1102), 2009 and 2010 (p = 0.6232), or 2008 and 2010 (p = 0.0890), although times consistently decreased from a median of 2.40 hours to 2.08 hours to 2.05 hours (2008 to 2009 to 2010). There was a statistically significant decrease in final report turnaround times between 2008 and 2009 (p < 0.0001), 2009 and 2010 (p < 0.0011), and 2008 and 2010 (p < 0.0001). Median final report times decreased from 5.00 hours to 3.08 hours to 2.75 hours in 2008, 2009, and 2010, respectively. There was also a significant decrease in the time interval between preliminary and final reports between 2008 and 2009 (p < 0.0001) and 2008 and 2010 (p < 0.0001) but no significant change between 2009 and 2010 (p = 0.4144).ConclusionOur results indicate that the presence of a dedicated ED radiologist significantly reduces final report turnaround time and thus may positively impact the time to ED patient disposition. Patient care is improved when attending radiologists are immediately available to read complex films, both in terms of health care outcomes and regarding the need for repeat testing. Providing emergency physicians with accurate imaging findings as rapidly as possible facilitates effective and timely management and thus optimizes patient care.

HYPERPIGMENTED BURN INJURIES OF THE FACE: TREATMENT WITH THE Q-SWITCHED RUBY LASER

1997 ◽  
Vol 99 (1) ◽  
pp. 265-266 ◽  
Author(s):  
Christian Raulin ◽  
Stefanie Hellwig ◽  
Matthias P. Schönermark
Keyword(s):  
Ruby Laser ◽  
Burn Injuries ◽  
The Face

A assistência estudantil no IF Baiano Campus Santa Inês em tempos de pandemia de Covid-19

2021 ◽  
Vol 5 (1) ◽  
pp. e051001
Author(s):  
Nivia Barreto dos Anjos ◽  
Ângelo Francisco de Souza Andrade ◽  
Nelian Costa Nascimento ◽  
Tailan Bomfim Andrade
Keyword(s):  
Social Inequality ◽  
Professional Education ◽  
Social Vulnerability ◽  
Emergency Situation ◽  
Time Frame ◽  
Assistance Program ◽  
The Face ◽  
Student Assistance ◽  
Santa Inês

Este artigo apresenta a sistematização das ações de Assistência Estudantil realizadas pelo IF Baiano Campus Santa Inês em 2020 em tempos de pandemia de Covid-19. O objetivo geral consiste em demonstrar a relevância que as ações de Assistência Estudantil têm diante da situação de vulnerabilidade social que vivenciam estudantes que enfrentam a desigualdade social, fruto de um capitalismo perverso, a qual foi agravada no período da pandemia. A grande questão é tentar identificar como em 2020 o IF Baiano Campus Santa Inês tem impactado a vida dos estudantes em situação de vulnerabilidade social durante essa emergência sanitária. A metodologia adotada baseia-se em pesquisa sobre os relatórios das entrevistas e visitas domiciliares, com recorte temporal de 2020; como também na análise das ações desenvolvidas para estes estudantes diante da situação de emergência decorrente da pandemia. Trata-se de um estudo de caso que procura pesquisar a experiência. O recorte teórico baseia-se na concepção de Assistência Estudantil como um direito amparado legalmente pelo Programa Nacional de Assistência Estudantil, e nos estudos sobre desigualdade social na sociedade pós-moderna. E com base na pesquisa da experiência, os dados de Assistência Estudantil serão apresentados, explicitados em sete ações desenvolvidas em 2020. Já as considerações finais procurarão anunciar que o IF Baiano Campus Santa Inês tem feito diferença, impactado a vida de estudantes e contribuído para o fortalecimento da Política de Educação do Estado da Bahia durante a pandemia de Covid-19, principalmente dos estudantes em situação de vulnerabilidade social. Palavras-chave: Desigualdade Social; Neoliberalismo; Capitalismo; Educação Profissional.     Abstract: This article presents the systematization of student assistance actions carried out by IF Baiano Campus Santa Inês in 2020 in Times of pandemic covid-19. The general objective is to demonstrate the relevance that student assistance actions have in the face of the situation of social vulnerability that students who face social inequality, the result of a perverse capitalism, which was aggravated in the period of the pandemic. The big question is to try to identify how the IF Baiano Campus Santa Inês in 2020 has impacted the lives of students in situations of social vulnerability during this health emergency. The methodology adopted is based on research on the reports of interviews and home visits, with a time frame of 2020; as well as in the analysis of the actions developed for these students in the face of the emergency situation resulting from the pandemic.  This is a case study that seeks to research the experience. The theoretical framework is based on the conception of Student Assistance as a right legally based by the National Student Assistance Program, and on studies on social inequality in postmodern society. And based on the research of experience, the Data of Student Assistance will be presented, explained in 7 actions developed in 2020. The final considerations will seek to announce that the IF Baiano Campus Santa Inês has made a difference, impacted the lives of students and contributed to the strengthening of the Education Policy of the State of Bahia during the Covid-19 pandemic, especially of students in situations of social vulnerability. Keywords: Social Inequality; Neoliberalism; Capitalism; Professional Education.

scholarly journals Numerical Analysis of Unsteady Laminar Flow past a Pentagonal Obstacle

2021 ◽  
Vol 10 (2) ◽  
pp. 968-974
Keyword(s):  
Laminar Flow ◽  
Flow Direction ◽  
Rectangular Channel ◽  
Time Frame ◽  
Two Dimensional ◽  
Fluid Inertia ◽  
Time Step ◽  
The Face ◽  
Computational Fluid Dynamics Cfd ◽  
Current Article

The current article dispenses the numerical investigation of a two dimensional unsteady laminar flow of incompressible fluid passing a regular pentagonal obstacle in an open rectangular channel. The centre of attention of this work is the comparison of drag coefficients estimated for two distinct cases based on the orientation of face and corner of an obstacle against the flow direction. The numerical results shows that the corner – oriented obstacle bring about 42% larger value of drag coefficient at Re = 500 than face – oriented obstacle. The substantial growth in the expanse of vortex behind obstacle (presented as a function of fluid inertia 25 < Re < 500) is analyzed through the contours and streamline patterns of velocity field. The two eddies in the downstream become entirely unsymmetrical at Re = 500 for both the cases, whereas; the flow separation phenomena occurs a bit earlier in the face – oriented case at Re = 250. Two dimensional Pressure – Based – Segregated solver is employed to model the governing equations written in velocity and pressure fields. The numerical simulations of unsteady flow are presented for 50 seconds time frame with time step 0.01 by using one of the best available commercial based Computational Fluid Dynamics (CFD) software, ANSYS 15.0.

Reflections on 12 Years of Facilitating Alzheimer’s Caregiver Support Groups

2006 ◽  
Vol 7 (3) ◽  
pp. 135-140 ◽  
Author(s):  
Shirley S. Earle
Keyword(s):  
Support Groups ◽  
Progressive Disease ◽  
Family Members ◽  
Background Characteristics ◽  
Caregiver Support ◽  
The Face ◽  
Objective Being

This article discusses the background, characteristics, caregiver benefits, and facilitator rewards of Alzheimer’s Caregiver Support Groups conducted over a 12-year period. The objective being to motivate more professionals to start similar groups to increase supports for family members in the face of this devastating progressive disease and/or to encourage clients to consult their local Alzheimer’s Association to find caregiver groups already formed in or around their community. Providing or locating this service is strongly advocated by both the caregivers interviewed and the facilitator.

scholarly journals Rehabilitation Therapists’ Clinical Questions in the Context of Evidence-Based Patient Care: An Exploratory Study

2013 ◽  
Author(s):  
Lorie Kloda ◽  
Joan Bartlett
Keyword(s):  
Qualitative Study ◽  
Patient Care ◽  
Exploratory Study ◽  
Occupational Therapists ◽  
Stroke Care ◽  
Evidence Based ◽  
Speech Language Pathologists ◽  
Accident Vasculaire Cérébral ◽  
Clinical Questions ◽  
Etude Qualitative

In this qualitative study, rehabilitation therapists (occupational therapists, physiotherapists, and speech-language pathologists) working in stroke care will be asked about their clinical questions. The goals of the study are: to identify common characteristics of questions, to develop a typology of questions, and to uncover reasons why certain questions are pursued.Pour cette étude qualitative, des thérapeutes en réadaptation (ergothérapeutes, physiothérapeutes et orthophonistes) œuvrant auprès de patients ayant subi un accident vasculaire cérébral sont interrogés à propos de leurs questions cliniques. Cette étude vise à déterminer les caractéristiques communes des questions, à dresser une typologie des questions et à découvrir les raisons pour lesquelles certaines questions adressées. 

Occupational Repertoire Development Measure – Parent (ORDM-P): Face validity, comprehensiveness, and internal consistency

2019 ◽  
Vol 83 (5) ◽  
pp. 326-333
Author(s):  
Janet Njelesani ◽  
Jane A Davis ◽  
Tatiana Pontes
Keyword(s):  
Internal Consistency ◽  
Occupational Therapists ◽  
Structured Interview ◽  
Parent Report ◽  
Face Validity ◽  
Older Children ◽  
Online Questionnaire ◽  
Repertoire Development ◽  
The Face ◽  
Further Development

Introduction An occupational repertoire is the array of occupations that an individual has the perceived capacity to perform at a specific point in time. The Occupational Repertoire Development Measure – Parent is a new tool that uses parent report to identify the occupations children can and do perform and their interests in and opportunities for doing them. This study aimed to test the face validity, comprehensiveness, and internal consistency of the Occupational Repertoire Development Measure – Parent as a tool to measure the occupational repertoire of children aged between 2 and 12 years. Method Twenty-nine occupational therapists completed an online questionnaire about the Occupational Repertoire Development Measure – Parent, and 27 parents completed it and then provided feedback via a structured interview. Descriptive statistics, content analysis, and the content validity index guided data analysis. Results Participants view the Occupational Repertoire Development Measure – Parent as practical, simple, and supportive of occupation-centred practice to optimize children’s development of a meaningful repertoire. Overall, self-care occupations were rated highly relevant. Lower-scoring occupations were those perceived as performed only by older children, nonessential for children with disabilities, or culturally unimportant. Conclusion Results indicate value in the further development of the Occupational Repertoire Development Measure – Parent and validate that it asks relevant questions to understand a child’s performance, engagement, and opportunities, leading to optimal repertoire development.

scholarly journals Paramedic emotional labour during COVID-19

2020 ◽  
Vol 12 (8) ◽  
pp. 319-323
Author(s):  
Catherine Hayes ◽  
Ian Corrie ◽  
Yitka Graham
Keyword(s):  
Patient Care ◽  
Psychological Wellbeing ◽  
Emotional Labour ◽  
The Face

Emotional preparedness is required for emergency paramedic practice. Emotional labour underpins the role of paramedics at the frontline of patient care. During the COVID-19 pandemic where patients are at their most vulnerable, it is imperative that paramedics can offer both reassurance to parents and be empowered in the face of the virus. Dealing with COVID-19 has put stress on paramedics, for whom psychological wellbeing is imperative to their capacity to cope in exceptionally challenging circumstances, where death has so frequently characterised the most severe cases of the virus.

Do specialists give consistent advice to primary care colleagues on antibiotic use in patients receiving bisphosphonates?

2017 ◽  
Vol 8 (2) ◽  
pp. 72-75
Author(s):  
Mike Mulcahy
Keyword(s):  
Primary Care ◽  
Bone Resorption ◽  
Bone Mass ◽  
Patient Care ◽  
Paget’S Disease ◽  
Antibiotic Use ◽  
Paget's Disease ◽  
The Face ◽  
Dental Profession ◽  
Current Guidelines

Since 2003, the dental profession has been challenged by the introduction of drugs, such as bisphosphonates, designed to protect bone mass in the face of pathological and physiological disease changes, including osteoporosis, Paget’s disease and metastatic malignancies. These conditions change the normal dynamic restructuring of bones by osteoblasts and osteoclasts, resulting in less bone resorption by osteoclasts. 1 However, they are also associated with osteonecrosis and current guidelines are inconsistent as to whether antibiotics should be used prophylactically. We present the results of a survey of the advice oral surgeons would give to PDCPs treating patients receiving bisphosphonates, and discuss the implications for patient care.

Estimates of Potential Bias in Telephone Substance Abuse Surveys Due to Exclusion of Households without Telephones

2002 ◽  
Vol 32 (4) ◽  
pp. 1139-1154 ◽  
Author(s):  
William E. McAuliffe ◽  
Richard LaBrie ◽  
Ryan Woodworth ◽  
Caroline Zhang
Keyword(s):  
Substance Abuse ◽  
American Indians ◽  
Household Survey ◽  
Time Frame ◽  
Potential Bias ◽  
Face To Face ◽  
Drugs And Alcohol ◽  
The Face ◽  
National Household Survey ◽  
Policy Objectives

This article reports estimates of the bias that may result in telephone substance abuse surveys because of the noncoverage of households without telephones. The study analyzed 1995–1998 data from the face-to-face National Household Survey on Drug Abuse. Residents of households with telephones reported less drug use, less dependence on drugs and alcohol, but more alcohol use than residents of households without telephones. The resulting percentage differences between respondents with telephones and respondents in all households averaged one tenth of a percent (0.1%), and ratios of percentage estimates for all households to households with telephones averaged 1.04. The bias varied by substance, time frame, use versus dependence, and demographic characteristics. For example, use of marijuana ever had less bias than past year cocaine dependence. American Indians/Alaska Natives had the greatest amount of potential bias. For most populations and policy objectives, it may not be worth the added expense of conducting supplementary face-to-face interviews with residents of households without telephones in order to eliminate the bias.

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