Open Building in Health Care Architecture: The Case of the Ino Project in Bern, Switzerland

2005 ◽  
Vol 30 (1) ◽  
pp. 13-21
Author(s):  
Stefan Geiser
Keyword(s):  
Discrete Systems ◽  
University Hospital ◽  
Primary System ◽  
Secondary System ◽  
Execution Phase ◽  
Health Care Architecture ◽  
The University ◽  
Hospital Equipment ◽  
Made In

The west surgery wing of the University Hospital “Insel” in Bern, which was completed in 1971, no longer meets operational requirements. A decision was made in 1995 that it must be completely renovated. The INO renovation project embraces in particular the Intensive care, Emergency and Surgery Centre. The Building Department of the Canton of Bern, which is responsible for overseeing construction work on the Insel hospital, is pursuing an open building method for the INO project to ensure that the “serviced structure” of the building (with main utility infrastructure) will continue to be highly adaptable, and that the components of the building are interchangeable and reusable. Building sections with differing service lives and designated purposes are therefore kept consistently separate in the planning and execution phases. The use of separate (discrete) systems anticipates the long-term life cycle of the building, and thus safeguards its value in terms of future use. Work is divided into discrete system levels: the primary system (building shell) is designed for a service life of 50 to 100 years, the secondary system (fit-out) for 15 to 50 years and the tertiary system (hospital equipment) for 5 to 15 years. The project is currently in the execution phase and is being developed in three stages. The 1st stage, the primary system, was completed at the end of 2002, the other stages have not yet been implemented. The 1st stage of the INO project is to go into operation by 2006 and the 2nd stage by 2009.

scholarly journals Psychosocial emergency care in times of COVID-19: the Essen University Hospital concept for corona-infected patients, their relatives, and medical staff

2020 ◽  
Author(s):  
Vanessa Rentrop ◽  
Johanna Sophie Schneider ◽  
Alexander Bäuerle ◽  
Florian Junne ◽  
Nora Dörrie ◽  
...  
Keyword(s):  
Medical Staff ◽  
Online Training ◽  
University Hospital ◽  
High Psychological Distress ◽  
Increased Risk ◽  
Psychosocial Emergency ◽  
Low Threshold ◽  
Long Term Consequences ◽  
The University

Abstract Due to the SARS CoV-2-virus (COVID-19), anxiety, distress, and insecurity occur more frequently. In particular, infected individuals, their relatives, and medical staff face an increased risk of high psychological distress as a result of the ongoing pandemic. Thus, structured psychosocial emergency concepts are needed. The University hospital of Essen has taken up this challenge by creating the PEC concept to reduce psychosocial long-term consequences for infected patients, relatives, and medical staff at the university hospital. The concept includes professional medical as well as psychological support to convey constructive coping strategies and the provision of adequate tools such as the low-threshold online training program (CoPE It), which is accessible via the webpage www.cope-corona.de.

scholarly journals The Vitamin D in Pregnancy Study: a prospective prebirth cohort in southern Australia

BMJ Open ◽  
2020 ◽  
Vol 10 (8) ◽  
pp. e036003 ◽  
Author(s):  
Natalie K Hyde ◽  
Sharon L Brennan-Olsen ◽  
John D Wark ◽  
Sarah M Hosking ◽  
Peter J Vuillermin ◽  
...  
Keyword(s):  
Vitamin D ◽  
Antenatal Clinic ◽  
University Hospital ◽  
Physical And Mental Health ◽  
Wide Range ◽  
Future Data ◽  
The University ◽  
In Pregnancy

PurposeThe Vitamin D in Pregnancy Study is a long-term ongoing cohort study. It was conceived to explore relationships between maternal vitamin D status in pregnancy and offspring growth and development, and has since diversified to include a wide range of physical and mental health exposures and outcomes.ParticipantsRecruitment was from the University Hospital Geelong (Barwon Health) antenatal clinic, Geelong, Victoria, Australia, between 2002 and 2004. 475 women were initially recruited, which resulted in 400 eligible mother–child pairs at birth.Findings to dateThe cohort has been followed up twice in pregnancy, at birth, and 1 year, 6 years and 11 years post birth. The study has reported an association between vitamin D in pregnancy and musculoskeletal health and body composition in the children.Future plansSubject to funding, there will be a prospective young adult follow-up. This profile aims to foster both cross-national and international collaborations with both existing and future data collection.

Alcohol Consumption in Victims of Violence: A Trend Study for the Period 1970–1998

2000 ◽  
Vol 87 (3) ◽  
pp. 803-811 ◽  
Author(s):  
Johannes Kingma
Keyword(s):  
Alcohol Consumption ◽  
Incidence Rate ◽  
Linear Trend ◽  
Incidence Rates ◽  
University Hospital ◽  
Significant Linear Trend ◽  
Male Predominance ◽  
Victims Of Violence ◽  
The University

This 29-yr. retrospective study is about alcohol consumption by victims of violence intentionally injured ( N = 13,048) and general patients unintentionally injured ( N = 296,544) who were treated for their injuries at the Trauma Center of the University Hospital Groningen (The Netherlands) during the period 1970–1998 The incidence rate for general patients with alcohol consumption was statistically significantly greater than the incidence rate of victims of violence with alcohol consumption. A long-term significant linear trend was observed for both types of patients during the 29-yr. period. However, the increase in incidence rate among the general patients with alcohol consumption was four times greater than the increase in incidence rate for the victims of violence with alcohol consumption. Makes predominated in both types of patients (with and without alcohol consumption). The statistically significant highest incidence rates (and male predominance) were found in the age group 20–24 years for both categories of patients.

scholarly journals Incidence, characteristics and prognosis of different cardiac etiologies underlying cardiac syncope

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
P Lopez Ayala ◽  
D Flores ◽  
T Zimmermann ◽  
J Du Fay De Lavallaz ◽  
T Nestelberger ◽  
...  
Keyword(s):  
Cardiac Disease ◽  
Vasovagal Syncope ◽  
University Hospital ◽  
Funding Source ◽  
Cardiac Syncope ◽  
Significant Difference ◽  
Structural Disease ◽  
The University ◽  
Long Term Mortality

Abstract Background Cardiac syncope has been shown to carry the highest hazard for all-cause death compared to other causes of syncope including vasovagal and orthostatic syncope. However, little is known about the incidence, characteristics and prognosis of different cardiac etiologies underlying cardiac syncope. Purpose To evaluate the incidence, characteristics and prognosis of different cardiac etiologies underlying cardiac syncope. Methods We enrolled patients presenting to the emergency department (ED) with syncope in a large prospective international multicentre study. The cause of syncope (cardiac vs non-cardiac) including the detailed cardiac aetiology (if cardiac) was centrally adjudicated by two independent cardiologists based on detailed in-hospital as well as outpatient cardiac work-up during 360 days following presentation. Cardiac syncope was classified into four groups: bradyarrhythmia, tachyarrhythmia, structural disease and other (cardiopulmonary and great vessels), as recommended in the ESC Syncope Guidelines. All-cause death during 2-years follow-up was the primary outcome. Results Among 2025 patients presenting with syncope to the ED, cardiac syncope was the final adjudicated diagnoses in 318 (15.7%) patients. The incidence rate of all-cause death among cardiac syncope patients was 103 cases per 1000 person-years. Bradyarrhythmia was the most frequent primary cause of cardiac syncope (n=146, 45.9%) followed by tachyarrhythmia (n=75, 23.6%), structural disease (n=64, 20.1%) and other cardiac (n=26, 8.2%). Patients were 37% female with a median age of 77 years (IQR 67–83) showing no statistically significant difference between subgroups. Clinical characteristics differed significantly among the four subgroups. E.g. syncope occurred during exercise in 12 patients (8.2%) with bradyarrhythmia, 10 patients (13.3%) with tachyarrhythmia, 16 patients (25%) with structural disease, and 5 patients (19%) with other cardiac (p<0.01). Likely of most importance, long-term mortality differed significantly among the four different cardiac subgroups. The multivariable-adjusted hazard ratios (HR) among patients with bradyarrhythmia, tachyarrhythmia, structural disease and other cardiac as compared to patients with vasovagal syncope, the HR were 1.3 (95% CI 0.7–2.5), 4.6 (95% CI 2.3–9.1), 3.1 (95% CI 1.5–6.4) and 5.9 (95% CI 2.3–15.2), respectively (Figure 1). Conclusions Bradyarrhythmia, tachyarrhythmia, and structural cardiac disease are the dominant causes of cardiac syncope. Interestingly, with the appropriate therapy initiated long-term mortality of bradyarrhythmia is comparable to that of vasovagal syncope, while long-term mortality of tachyarrhythmia and structural cardiac disease were substantially increased 3 to 5 fold. Figure 1. Kaplan-Meier curve Funding Acknowledgement Type of funding source: Public grant(s) – National budget only. Main funding source(s): The Swiss National Science Foundation, the Swiss Heart Foundation, the Stiftung für kardiovaskuläre Forschung Basel, the University of Basel and the University Hospital Basel.

scholarly journals Made in India SiDHELA Indias First Endangered Language Archive

2020 ◽  
Vol 40 (05) ◽  
pp. 292-299
Author(s):  
R. Karthick Narayanan
Keyword(s):  
Primary Data ◽  
Endangered Languages ◽  
Language Documentation ◽  
Endangered Language ◽  
Linguistic Resource ◽  
The University ◽  
Theoretical Issues ◽  
North Bengal ◽  
Made In

Sikkim-Darjeeling Himalayan Endangered Languages Archive (SiDHELA) created by the Centre for Endangered Languages, Sikkim University is India’s first endangered language archive. This archive is part of the ongoing language documentation initiatives of the Centre funded by the University Grant Commission. The Centre, formally established in December 2016 aims for preservation and promotion of endangered languages in Sikkim and North Bengal. The Centre carries out documentation and description of the indigenous endangered languages of the region through linguistic and ethnographic fieldwork. SiDHELA conceptualised as a platform for a linguistic resource of the languages spoken in the region, houses the primary data collected through fieldwork. One of the main aims of this archive is to preserve the data for long term usage and dissemination. Central Library, Sikkim University hosts the archive under its digital library. Through this archive the Centre for Endangered Languages, Sikkim University seeks not just to preserve and protect but also to promote the use of endangered languages spoken in the region. This paper presents the journey of this archive from idea to reality. This paper outlines the motivation behind the conceptualisation of SiDHELA as a regional archive and then discusses its development. It includes discussion on the developmental platform, theoretical issues in the conceptualisation of the archive and practical challenges in its design and development and its prospects. This paper thus primarily intends to inform scholars and researchers working with endangered languages of the region about this archive and its development. Finally, it hopes to kindle interest among researchers and librarians for developments of more such regional archives.

Current Therapeutic Approach in EDNOS

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
F. Fernandez-Aranda ◽  
I. Krug ◽  
N. Riesco ◽  
I.M. Sanchez-Diaz
Keyword(s):  
University Hospital ◽  
Motivation To Change ◽  
Case Control Studies ◽  
Pilot Studies ◽  
Psychosocial Impairment ◽  
Face To Face ◽  
High Prevalence ◽  
Long Term Prognosis ◽  
The University

Background and aims:Despite the high prevalence of EDNOS only a small proportion of individuals with this disorder seek treatment, which may be due in part to difficulties in finding specialized treatment settings for EDNOS and the high costs and logistics associated with face-to-face individual psychotherapy. This omission is critical since there is evidence that the severity of psychopathology and degree of secondary psychosocial impairment in those with EDNOS are comparable to those seen in patients with anorexia nervosa (AN) or bulimia nervosa (BN). There has been hardly any research on the treatment of atypical EDs other than the promising effort on BED, for which Cognitive Behavior Therapy (CBT) is proposed to be the most effective treatment. The aim of this presentation is to show several pilot studies and our experience of treating EDNOS cases, but also to analyze variables associated to good-outcome.Method:We performed several clinical studies with EDNOS patients at the University Hospital of Bellvitge to assess the effectiveness and efficiency of specific outpatient CBT programs of short and long term duration.Results and conlusions:The few case-control studies where the effect of diagnosis on the prognosis has been analyzed have shown differential course and outcome in EDs. EDNOS (with exception of BED) showed the poorest long-term prognosis, due to their heterogeneity and, in many cases, to their lower motivation to change. Specific therapy programs, based on our experience, will be discussed.

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