scholarly journals Thetford plastics fire, October 1991: the role of a preventive medical team in chemical incidents.

1995 ◽  
Vol 52 (10) ◽  
pp. 694-698 ◽  
Author(s):  
P J Baxter ◽  
B J Heap ◽  
M G Rowland ◽  
V S Murray
2020 ◽  
Vol 7 (1) ◽  
pp. 18
Author(s):  
Lea R. Hix ◽  
Susan M. Fernandes ◽  
Pauline Joyce

Background: The physician associate/assistant (PA) role was introduced into the Irish healthcare system in 2015 when four PAs from North America were recruited to work in Ireland as part of a two-year pilot program. In parallel, the Royal College Surgeons in Ireland (RCSI) began its own PA program in January of 2016 and has graduated 25 PAs. To date, there is little published on the few Irish-trained PAs. This study seeks to share initial experiences with the PA profession in Ireland.Methods: This descriptive phenomenological study explores the newly implemented PA role in Ireland through semi-structured, one-to-one interviews with five PAs and their supervising consultants in Dublin, Ireland. Questions centered on the PA scope of clinical practice, satisfaction with the role, acceptance by the medical team, and integration into the Irish healthcare system.Results: Six themes were identified from the interviews: continuity of patient care, flexible scope of practice, lack of role clarity, complementary to the medical team, regulation and prescribing challenges, and the emerging role of the PA.Conclusions: The development of the PA role is in its infancy in Ireland, but this study suggests that they fill an important role by providing continuity of care to both patients and the medical team. Currently, there are significant challenges imposed by a lack of regulation of the PA profession and the inability to prescribe. However, PAs in Ireland appear to enjoy their work and have great potential to expand throughout Irish healthcare and are valued by their team members.


2019 ◽  
Vol 2019 ◽  
pp. 1-8 ◽  
Author(s):  
Adel Bachour ◽  
Heidi Avellan-Hietanen ◽  
Tuula Palotie ◽  
Paula Virkkula

While continuous positive airway pressure (CPAP) is an effective first-line therapy for sleep apnea, CPAP fails in one third of patients mainly due to poor adherence to the CPAP device and masks. The role of the medical team is to guide the patient in choosing the best mask, thus insuring good CPAP therapy adherence. Once a suitable mask is found, the brand of the mask does not affect patient satisfaction or CPAP adherence. For the majority of patients, nasal masks are by far more suitable than oronasal masks. Orosanal masks are indicated in case of nasal stuffiness or when an air leak manifests through the mouth. Re-evaluation of the efficacy of CPAP therapy is recommended when switching to oronasal masks.


2020 ◽  
Vol 45 (9) ◽  
pp. 1063-1073
Author(s):  
Yaara Sadeh ◽  
Rachel Dekel ◽  
Amichai Brezner ◽  
Jana Landa ◽  
Tamar Silberg

Abstract Objectives This study examined the contribution of pretrauma psychosocial factors (child emotional functioning, family resources, family functioning, and social support) and environmental factors (mother’s posttraumatic stress symptoms [PTSSs], medical team support [MTS]) to PTSSs of injured or seriously ill children within a pediatric rehabilitation setting. It was hypothesized that psychosocial variables would be strongly associated with child’s PTSS; that mother’s PTSS and MTS would mediate the association between psychosocial factors and child’s PTSS; that mother’s report on child’s PTSS would mediate the association between mother’s PTSS and child’s PTSS. Methods Participants were 196 children hospitalized following an injury/illness and assessed M = 47.7 days postevent. Children completed measures of PTSS, mothers completed measures of their own PTSS, child’s PTSS, and pretrauma psychosocial factors. Family’s therapist completed a MTS measure. Structural equation modeling was employed to evaluate the study hypotheses. Results Pretrauma family structure and resources were associated with child’s self-reported PTSS; each pretrauma variable and mother’s report of child’s PTSS was significantly associated. Although mother’s PTSS was not directly associated with child’s PTSS, this relationship was mediated by mother’s report of child’s PTSS. MTS mediated the relationship between pretrauma social support and mother’s PTSS. Conclusion This study further explicates the utility of a biopsychosocial framework in predicting childhood PTSS. Findings confirm the role of pretrauma factors and environmental factors at the peritrauma period in the development of PTSS following a pediatric injury/illness. Mother’s PTSS and MTS may be appropriate targets for prevention and early intervention.


BioMedica ◽  
2020 ◽  
Vol 36 (2S) ◽  
pp. 39-40
Author(s):  
Shimaa Mohammad Yousof ◽  
Imrana Tanvir

<p>The world with COVID-19 is in greatly challenging circumstances that can lead to stress for many reasons including the feeling of uncertainty and the worry about family members and friends. Chronic stress affects both humoral and cellular immunity. The role of government and public support for the health teams is demanded to help the health professionals overcome these stressors and therefore defeat the infection.</p>


2015 ◽  
Vol 11 (4) ◽  
pp. 54-63 ◽  
Author(s):  
С. Жолудев ◽  
S. Zholudev ◽  
В. Стрижаков ◽  
V. Strizhakov ◽  
А. Ремов ◽  
...  

<p>In the article on the basis of the literature are shown main errors during dental implantation, as well as the difficulties encountered by the dentist orthopedist during the stage of prosthetics on implants<br />in the absence of parallel superstructures, as well as improperly installed cylindrical implants. On the example of the technology of the planning of surgical stage of implant placement using a surgical<br />template and software complex IMPLANT-ASSISTANT® is shown that orthopedist can not only plan the position of the implants, but also to predict the outcome of orthopedic treatment of partial or total loss of teeth with implants. The article shows the algorithms of treatment of patients with surgical guide and software complex IMPLANT-ASSISTANT®, as well as on clinical examples illustrates the results of this technology. It is talked about future work results of the medical team in Yekaterinburg.</p>


2019 ◽  
Vol 34 (s1) ◽  
pp. s166-s166
Author(s):  
Handoyo Pramusinto ◽  
Agung Priambodo ◽  
Andreas Dewanto

Introduction:The natural disasters of the earthquake and tsunami occurred in Palu, on September 28, 2018, at around 17.02 WIB. The earthquake measured 7.7 magnitude with the epicenter at a depth of 10 km in the direction of 27 km northeast of the city of Donggala, followed by a tsunami along the coast of Talise town of Palu. Some of the victims of the disaster have died, and in addition to many deaths, there were reported trauma cases such as fractures, torn wounds, and other injuries where many did not receive medical help.Aim:To revitalize hospitals in Palu with the medical assistance team.Methods:Sardjito hospital formed a medical team sent to the disaster area which consisted of 22 members from various disciplines (anesthetists, orthopedic surgeons, general surgeons, neurosurgeons, internal medicine doctors, pediatricians, general practitioners, anesthesia nurses, emergency nurses, surgical room nurses, sanitarians, sterilization officer, technical officers, and nutrition officers). The ICS informed the targets of this emergency response that the following must be accomplished within 2 weeks: revitalize the health care facilities and deliver health care. The sanitarian officer coordinated dealing with the problem of the former corpse in Bhayangkara Hospital by doing disinfectants in the area of the former mortuary. Sardjito Hospital’s medical team revitalized health services in Bhayangkara Hospital by providing 24-hour emergency services and surgery.Results:The medical team of Sardjito general Hospital gave medical service in Bhayangkara Hospital and Torabello Regional Hospital. The total number of treated patients was 158, and most cases of surgery were orthopedics.


Author(s):  
Karen Schaller ◽  
Linda Stephenson-Somers ◽  
Adolfo Ariza ◽  
Maheen Quadri ◽  
Helen Binns

The management of youth with severe obesity is strongly impacted by social determinants of health and family dynamics. We present case studies of three patients seen in our tertiary care obesity treatment clinic as examples of the challenges faced by these patients and their families, as well as by the medical team. We discuss how these cases illustrate potential barriers to care, the role of child protective services, and we reflect upon lessons learned through the care of these patients. These cases highlight the need for comprehensive care in the management of youth with severe obesity, which can include: visits to multiple medical specialists, and mental and behavioral health providers; school accommodations; linkage to community resources; and, potentially, child protective services involvement. Through the care of these youth, our medical team gained more experience with using anti-obesity medications and meal replacements. The care of these youth also heightened our appreciation for the integral role of mental health services and community-based resources in the management of youth with severe obesity.


Pediatru ro ◽  
2018 ◽  
Vol 3 (51) ◽  
pp. 26
Author(s):  
Nicolae Rusu ◽  
Carmen Daniela Ababei ◽  
Monica Neamţu ◽  
Veronica Bild ◽  
Bogdan Savu

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