Lassa fever presenting as a cause of post-operative pyrexia following open femoral interlocking nailing

2021 ◽  
pp. 004947552110268
Author(s):  
Olasinde A Ayotunde ◽  
Jones Gbenga ◽  
Abejegah Chuks ◽  
Ogunlusi J Dare ◽  
Akinleye Temitope
Keyword(s):  
Medical Staff ◽  
Lassa Fever ◽  
Protective Measures ◽  
Interlocking Nailing ◽  
Femoral Interlocking Nailing

We report a case where Lassa fever was diagnosed in the search for post-operative pyrexia. Protective measures may have prevented any transmission to the attending medical staff.

scholarly journals Neutral Electrolyzed Water (SES) for Nasopharyngeal and Oropharyngeal Rinses Prevented COVID-19 in Front-Line Health Professionals: A Randomized, Open-Label, Controlled Trial in a General Hospital in Mexico City.

2021 ◽  
Author(s):  
Rafael Gutiérrez-García ◽  
Juan Carlos De la Cerda-Ángeles ◽  
Ariana Cabrera-Licona ◽  
Iván Delgado-Enciso ◽  
Nicolás Mervitch-Sigal ◽  
...  
Keyword(s):  
General Hospital ◽  
Mexico City ◽  
Medical Staff ◽  
Protective Factor ◽  
Control Group ◽  
Controlled Clinical Trial ◽  
Front Line ◽  
Open Label ◽  
Protective Measures ◽  
Electrolyzed Water

Abstract Background: The COVID-19 pandemic, caused by the SARS-COV-2 virus, has destabilized society all around the world and is predicted to take a long time to be overcome. The worldwide efforts that healthcare professionals are making is well known, and the high risk of illness and death that front-line staff experience on a daily basis is a reality as well. Despite well-defined protocols for the use of personal protective equipment, many nurses and doctors are still getting sick and dying. It is well known that vaccination is still faraway to be achieved worldwide and that new variants are emerging, so additional protective measures must be explored. This study investigated the effectivity of a neutral electrolyzed water (SES) to reduce the risk of COVID-19 disease in front-line medical staff, when it was used for nasopharyngeal and oropharyngeal rinses (prophylactic protocol).Methods: A prospective open-label, randomized controlled clinical trial was performed in front-line medical staff from the general hospital Enrique Cabrera in México City. One hundred and seventy volunteers were enrolled and equally divided in control group and SES group. All members of the trial wore the adequate personal protection equipment at all times while performing their duties, as required by standard COVID-19 safety protocols. Additionally, the SES group participants followed a prophylactic protocol with SES (oral and nasal rinses, three times a day for 4 weeks). All participants were monitored for COVID-19 symptoms and disease in a time-frame of 4 weeks and the incidence of illness per group was registered. The relative risk of disease, associated with each treatment was calculated. Results: The presence of COVID-19 positive cases, in the group that received the nasal and oral rinses with SES was 1.2%, while in the group that did not do the SES rinses (control group), it was 12.7% (p= 0.0039 and RR= 0.09405; 95%, CI of 0.01231-0.7183). The prophylactic protocol was demonstrated as a protective factor for developing the disease. Conclusions: Nasal and oral rinses with SES may be an efficient alternative to reinforce the protective measures against COVID-19 disease and should be further investigated. Trial registration: RPCEC00000357. Retrospectively registered, March, 16, 2021. https://rpcec.sld.cu/en/trials/RPCEC00000357-En/revisions/5137/view

Influence of muscular contractions on the stress analysis of distal femoral interlocking nailing

2008 ◽  
Vol 23 (1) ◽  
pp. 38-44 ◽  
Author(s):  
Kao-Shang Shih ◽  
Ching-Shiow Tseng ◽  
Chia-Ching Lee ◽  
Shang-Chih Lin
Keyword(s):  
Stress Analysis ◽  
Interlocking Nailing ◽  
Femoral Interlocking Nailing

scholarly journals Wuhan's Experience in Fighting COVID-19: Achieving Zero Case of COVID-19 Infection among Healthcare Workers

2021 ◽  
Author(s):  
Anhua Wu ◽  
liuyi li ◽  
Caixia Tan ◽  
Xiujun Meng ◽  
Xudong Ma ◽  
...  
Keyword(s):  
Intensive Care ◽  
Medical Staff ◽  
Healthcare Workers ◽  
Early Stage ◽  
Protective Measures ◽  
Hospital Acquired Infections ◽  
National Medical ◽  
Medical Teams ◽  
Hospital Acquired ◽  
The Military

In the context of the COVID-19 pandemic, thousands of healthcare workers (HCWs) infected with COVID-19 have lost their lives worldwide. At the early stage of the epidemic, when COVID-19 was still not considered as a pandemic, a large number of Chinese HCWs were infected. Officials reported that more than 3,000 HCWs in Hubei contracted the virus at the early stage of the outbreak due to limited knowledge of the virus. Following reports of overloaded local hospitals, more than 42,000 medical staff, including those from the military, were dispatched to Hubei from across the country. At the peak of the fight, one in 10 intensive care medics in China were working in Wuhan. During fighting against COVID-19 in China, although a large number of HCWs were infected by SARS-CoV-2 in the early stages of the epidemic, the timely adoption of measures indicated that, a faster rate of diagnosis could be achieved, patients were isolated in-time, HCWs’ safety was prioritized, training on basic protective knowledge and unified management of HCWs was strengthened, and effective protective measures were implemented. This resulted in the accomplishment of zero SARS-CoV-2 infection among the 42,632 members of the national medical teams sent to Hubei, and the number of COVID-19 cases among HCWs in local hospitals also significantly decreased, thereby indicating that hospital-acquired infections of SARS-CoV-2 among HCWs are fully preventable.

scholarly journals Healthcare worker risk of COVID-19: A 20-month analysis of protective measures from vaccination and beyond

2021 ◽  
Author(s):  
Annalee Yassi ◽  
Stephen Barker ◽  
Karen Lockhart ◽  
Jennifer M. Grant ◽  
Arnold Ikedichi Okpani ◽  
...  
Keyword(s):  
Public Health ◽  
Occupational Health ◽  
Infection Control ◽  
Medical Staff ◽  
Cox Regression ◽  
Vaccine Effectiveness ◽  
Health System Strengthening ◽  
Infection Rates ◽  
Protective Measures ◽  
Vaccination Rates

Background: As the COVID-19 pandemic continues and new variants such as Omicron emerge, we aimed to re-evaluate vaccine effectiveness as well as impacts of rigorously implemented infection control, public health and occupational health measures in protecting healthcare workers (HCWs). Methods: Following a cohort of 21,242 HCWs in Vancouver, British Columbia, Canada, for 20 months since the pandemic started, we used Cox regression and test-negative design to examine differences in SARS-COV-2 infection rates compared to community counterparts, and within the HCW workforce, assessing the role of occupation, testing accessibility, vaccination rates, and vaccine effectiveness over time. Results: Nurses, allied health professionals and medical staff in this jurisdiction had a significantly lower rate of infection compared to their age-group community counterparts, at 47.4, 41.8, and 55.3% reduction respectively; controlling for vaccine-attributable reductions, the protective impact was still substantial, at 33.4, 28.0, and 36.5% respectively. Licensed practical nurses and care aides had the highest risk of infection among HCWs, more than double that of medical staff. However, even considering differences in vaccination rates, no increase in SARS-CoV-2 infection was found compared to community rates, with combined protective measures beyond vaccination associated with a 17.7% reduced SARS-COV-2 rate in the VCH workforce overall. There was also no evidence of waning immunity within at least 200 days after second dose. Conclusion: Rigorously implemented occupational health, public health and infection control measures results in a well-protected healthcare workforce with infection rates at or below rates in community counterparts. Greater accessibility of vaccination worldwide is essential; however, as implementing measures to protect this workforce globally also requires considerable health system strengthening in many jurisdictions, we caution against overly focusing on vaccination to the exclusion of other crucial elements for wider protection of HCWs, especially in facing ongoing mutations which may escape current vaccines.

Coordinating Medical Literature with Patient Care

1977 ◽  
Vol 16 (04) ◽  
pp. 234-240 ◽  
Author(s):  
Joann Gustafson ◽  
J. Nelson ◽  
Ann Buller
Keyword(s):  
Health Care ◽  
Medical Staff ◽  
Medical Information ◽  
Medical Literature ◽  
Medical Information System ◽  
Staff Members ◽  
Information Displays ◽  
Medical Displays ◽  
Computerized Medical Information ◽  
The Given

The contribution of a special library project to a computerized problem-oriented medical information system (PROMIS) is discussed. Medical information displays developed by the PROMIS medical staff are accessible to the health care provider via touch screen cathode terminals. Under PROMIS, members of the library project developed two information services, one concerned with the initial building of the medical displays and the other with the updating of this information. Information from 88 medical journals is disseminated to physicians involved in the building of the medical displays. Articles meeting predetermined selection criteria are abstracted and the abstracts are made available by direct selective dissemination or via a problem-oriented abstract file. The updating service involves comparing the information contained in the selected articles with the computerized medical displays on the given topic. Discrepancies are brought to the attention of PROMIS medical staff members who evaluate the information and make appropriate changes in the displays. Thus a feedback loop is maintained which assures the completeness, accuracy, and currency of the computerized medical information. The development of this library project and its interface with the computerized health care system thus attempts to deal with the problems in the generation, validation, dissemination, and application of medical literature.

RUA Method. Method for Ensuring the Safety of Work for Chemical and Petrochemical Industries

2020 ◽  
Vol 17 (4) ◽  
pp. 44-53
Author(s):  
M. S. Belov
Keyword(s):  
Key Factors ◽  
Protective Measures ◽  
Safety Protection ◽  
Vision Zero ◽  
Petrochemical Industries

In order to assess the risks and determine the optimal actions to ensure the safety of work at chemical and petrochemical plants, a method has been developed that allows identifying operations that require optimization and the introduction of additional protective measures. A brief overview of the key factors that affect the safety and effectiveness of operations is provided. The method is based on the concept of zero injuries — Vision Zero, which assumes that absolutely all accidents at work can be prevented. This method is necessary for a deeper analysis of production operations and improving the level of safety protection.

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