scholarly journals Operation and management of a community treatment center using telemedicine for foreign patients with mild COVID-19 symptoms

Medicine ◽  
2021 ◽  
Vol 100 (47) ◽  
pp. e27948
Author(s):  
Han Bit Kim ◽  
Sangsoo Han ◽  
Heejun Shin ◽  
Young Hwan Lee ◽  
Kyung Min Lee ◽  
...  
Keyword(s):  
Community Treatment ◽  
Treatment Center ◽  
Operation And Management

scholarly journals Operation and Management of Seoul Metropolitan City Community Treatment Center for Mild Condition COVID-19 Patients

2020 ◽  
Vol 35 (40) ◽  
Author(s):  
Sun Young Lee ◽  
Kyoung Jun Song ◽  
Chun Soo Lim ◽  
Byeong Gwan Kim ◽  
Young Jun Chai ◽  
...  
Keyword(s):  
Mild Condition ◽  
Community Treatment ◽  
Treatment Center ◽  
City Community ◽  
Metropolitan City ◽  
Operation And Management

scholarly journals Assessing Viral Shedding and Infectivity of Asymptomatic or Mildly Symptomatic Patients with COVID-19 in a Later Phase

2020 ◽  
Vol 9 (9) ◽  
pp. 2924 ◽  
Author(s):  
Yujin Sohn ◽  
Su Jin Jeong ◽  
Won Suk Chung ◽  
Jong Hoon Hyun ◽  
Yae Jee Baek ◽  
...  
Keyword(s):  
Viral Rna ◽  
Community Treatment ◽  
Transmission Risk ◽  
Treatment Center ◽  
Public Health Issue ◽  
Rt Pcr ◽  
Pcr Assay ◽  
Viral Shedding ◽  
Viral Culture ◽  
Later Phase

Background: The coronavirus disease (COVID-19) pandemic, caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has become a major global public health issue. SARS-CoV-2 infection is confirmed by the detection of viral RNA using reverse transcription polymerase chain reaction (RT-PCR). Prolonged viral shedding has been reported in patients with SARS-CoV-2 infection, but the presence of viral RNA does not always correlate with infectivity. Therefore, the present study aimed to confirm the presence of viable virus in asymptomatic or mildly symptomatic patients in the later phase of the disease, more than two weeks after diagnosis. Method: Asymptomatic or mildly symptomatic COVID-19 patients who had been diagnosed with the disease at least two weeks previously and admitted to a community treatment center (CTC) from 15 March to 10 April 2020 were enrolled in this study. Nasopharyngeal and salivary swab specimens were collected from each patient. Using these specimens, RT-PCR assay and viral culture were performed. Result: In total, 48 patients were enrolled in this study. There were no significant differences in baseline characteristics between the asymptomatic and mildly symptomatic patient groups. RT-PCR assay and viral culture of SARS-CoV-2 were performed using nasopharyngeal and salivary swabs. The results of RT-PCR performed using salivary swab specimens, in terms of cycle threshold (Ct) values, were similar to those of RT-PCR using nasopharyngeal swab specimens. In addition, no viable virus could be cultured from swab specimens collected from the late-phase COVID-19 patients with prolonged viral RNA shedding. Conclusions: In conclusion, our study suggests that even if viral shedding is sustained in asymptomatic or mildly symptomatic patients with later phase of COVID-19, it can be expected that the transmission risk of the virus is low. In addition, saliva can be used as a reliable specimen for the diagnosis of SARS-CoV-2 infection.

scholarly journals Construction of a non-contact community treatment center for asymptomatic and mildly symptomatic COVID 19 patients during the COVID-19 pandemic

2021 ◽  
pp. 1-8
Author(s):  
Si Hyun Kim ◽  
Youn Jeong Kim ◽  
Yeon Jeong Jeong ◽  
Ji Hye Park ◽  
Shin Young Lee ◽  
...  
Keyword(s):  
Community Treatment ◽  
Treatment Center

scholarly journals Deep-learning algorithms for the interpretation of chest radiographs to aid in the triage of COVID-19 patients: A multicenter retrospective study

PLoS ONE ◽  
2020 ◽  
Vol 15 (11) ◽  
pp. e0242759
Author(s):  
Se Bum Jang ◽  
Suk Hee Lee ◽  
Dong Eun Lee ◽  
Sin-Youl Park ◽  
Jong Kun Kim ◽  
...  
Keyword(s):  
Deep Learning ◽  
Retrospective Study ◽  
Image Interpretation ◽  
Area Under The Curve ◽  
Ground Glass Opacity ◽  
Community Treatment ◽  
Ct Scans ◽  
Treatment Center ◽  
Automatic Interpretation ◽  
Radiology Reports

The recent medical applications of deep-learning (DL) algorithms have demonstrated their clinical efficacy in improving speed and accuracy of image interpretation. If the DL algorithm achieves a performance equivalent to that achieved by physicians in chest radiography (CR) diagnoses with Coronavirus disease 2019 (COVID-19) pneumonia, the automatic interpretation of the CR with DL algorithms can significantly reduce the burden on clinicians and radiologists in sudden surges of suspected COVID-19 patients. The aim of this study was to evaluate the efficacy of the DL algorithm for detecting COVID-19 pneumonia on CR compared with formal radiology reports. This is a retrospective study of adult patients that were diagnosed as positive COVID-19 cases based on the reverse transcription polymerase chain reaction among all the patients who were admitted to five emergency departments and one community treatment center in Korea from February 18, 2020 to May 1, 2020. The CR images were evaluated with a publicly available DL algorithm. For reference, CR images without chest computed tomography (CT) scans classified as positive for COVID-19 pneumonia were used given that the radiologist identified ground-glass opacity, consolidation, or other infiltration in retrospectively reviewed CR images. Patients with evidence of pneumonia on chest CT scans were also classified as COVID-19 pneumonia positive outcomes. The overall sensitivity and specificity of the DL algorithm for detecting COVID-19 pneumonia on CR were 95.6%, and 88.7%, respectively. The area under the curve value of the DL algorithm for the detection of COVID-19 with pneumonia was 0.921. The DL algorithm demonstrated a satisfactory diagnostic performance comparable with that of formal radiology reports in the CR-based diagnosis of pneumonia in COVID-19 patients. The DL algorithm may offer fast and reliable examinations that can facilitate patient screening and isolation decisions, which can reduce the medical staff workload during COVID-19 pandemic situations.

Differences in cognitive impairment between VA and community treatment center alcoholics.

1993 ◽  
Vol 7 (1) ◽  
pp. 43-51 ◽  
Author(s):  
Laura J. Tivis ◽  
Oscar A. Parsons ◽  
Susan Wagner Glenn ◽  
Sara Jo Nixon
Keyword(s):  
Cognitive Impairment ◽  
Community Treatment ◽  
Treatment Center

scholarly journals Developing the First Telenursing Service for COVID-19 Patients: The Experience of South Korea

2021 ◽  
Vol 18 (13) ◽  
pp. 6885
Author(s):  
Hyunsook Heo ◽  
Kyungyi Lee ◽  
Eunhee Jung ◽  
Hyangyuol Lee
Keyword(s):  
Mobile Application ◽  
Vital Signs ◽  
Signs And Symptoms ◽  
Healthcare Services ◽  
Community Treatment ◽  
Treatment Center ◽  
Educational Materials ◽  
Whole Process ◽  
Degree Of Satisfaction ◽  
Electronic Questionnaires

This study aimed to examine the process of establishing a telenursing service for COVID-19 patients with mild or no symptoms admitted to a community treatment center (CTC). The process of establishing the service was reviewed, and the degree of satisfaction with the provided service was investigated based on the medical records the patients submitted at their discharge from the CTC. A total of 113 patients were admitted; the patients themselves entered the self-measured vital signs and symptoms of COVID-19 infection to the electronic questionnaires and mobile application. The nurses implemented remote nursing based on the patients’ input data. The educational materials, including the video for self-measuring vital signs and the living guidelines, were prepared and arranged in advance. The telenursing protocol regarding the whole process from the patients’ admission to their discharge was used and applied to five other CTCs. The non-contact counseling service’s satisfaction and convenience scores were 4.65 points and 4.62 points, respectively, out of 5 points. The non-contact nursing counseling service played an important role in monitoring patients’ medical conditions during the spread of COVID-19. This experience of establishing telenursing services to the CTC provides a clear direction to innovate healthcare services in future disasters.

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