scholarly journals Implementation of care for the use of the extracorporeal oxygenation membrane in the COVID-19 pandemic

2021 ◽  
Vol 74 (suppl 1) ◽  
Author(s):  
Ligia Neres Matos ◽  
Julia Gonçalves Escossia Campos ◽  
Liana Amorim Corrêa Trotte ◽  
Marluci Andrade Conceição Stipp
Keyword(s):  
Action Plan ◽  
Care Center ◽  
Complex Interventions ◽  
Care Program ◽  
Pulmonary Complications ◽  
Hypoxemic Respiratory Failure ◽  
Descriptive Approach ◽  
The City ◽  
Regular Training ◽  
Extracorporeal Oxygenation

ABSTRACT Objective: To report the experience of a quaternary care center on the implementation of a care program for patients with severe hypoxemic respiratory failure due to SARS-CoV-2 requiring an extracorporeal oxygenation membrane. Method: This is an experience report with a descriptive approach, analyzing the use of the extracorporeal oxygenation membrane in a quaternary care center in the city of Rio de Janeiro. Results: The planning for the use of the extracorporeal oxygenation membrane included training with the professionals and use of the components related to the adaptation of the protocol, equipment, facilities, quality and safety. Final Considerations: Planning, resource allocation and regular training of the team to offer complex interventions, in line with recommendations for good practices in the care for patients with pulmonary complications related to the new coronavirus were essential for the development of the action plan for the use of extracorporeal oxygenation membrane in this pandemic period.

Impact of Proposed Burlington and Hamilton Sewage Discharges in Western Lake Ontario

2003 ◽  
Vol 38 (4) ◽  
pp. 627-645 ◽  
Author(s):  
Yerubandi R. Rao ◽  
Raj C. Murthy ◽  
Fausto Chiocchio ◽  
Michael G. Skafel ◽  
Murray N. Charlton
Keyword(s):  
Action Plan ◽  
Near Field ◽  
Lake Ontario ◽  
Zone Model ◽  
Hamilton Harbour ◽  
Western Lake ◽  
Treated Sewage ◽  
Treated Effluents ◽  
Typical Summer ◽  
The City

Abstract The alternate strategy of open-lake discharge may alleviate the need for unusually stringent treatment needed to meet water quality goals of the Hamilton Harbour Remedial Action Plan (RAP). The latest update of the RAP recommended a study of the possibility of offshore discharges. A study conducted for the City of Burlington has proposed a location for outfall in Lake Ontario. This paper utilizes a combination of physical limnological data and mathematical models to predict the waste plume characteristics for the proposed outfall in the lake. Near-field dilutions obtained from a mixing zone model show that, for treated effluents with a discharge condition of 2 m3/s at the proposed outfall site at Burlington, the dilution ratios are in the range of 13:1 to 28:1 for weak to moderate currents during summer stratification. Winter dilution ratios increased to 21:1 to 96:1 for moderate currents. The recommended site for open-lake outfall provides acceptable near-field dilutions for treated effluents under typical lake currents and density structure. The extension of outfall to a location farther offshore is only marginally beneficial. With the proposed Burlington outfall location and discharge conditions, no far-field contamination is observed near the beaches or nearby water intakes for typical summer and winter conditions. Thus, this study indicates that by discharging the treated sewage from an outfall in Lake Ontario it is possible to achieve the Hamilton Harbour RAP goals.

scholarly journals Tracking implementation within a community-led whole of system approach to address childhood overweight and obesity in south west Sydney, Australia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Nicola Maitland ◽  
Karen Wardle ◽  
Jill Whelan ◽  
Bin Jalaludin ◽  
Doug Creighton ◽  
...  
Keyword(s):  
Stakeholder Engagement ◽  
System Approach ◽  
Action Plan ◽  
Complex Interventions ◽  
Childhood Overweight ◽  
Overweight And Obesity ◽  
Community Members ◽  
Childhood Overweight And Obesity ◽  
Working Groups ◽  
Implementation Data

Abstract Background Obesity is a chronic disease that contributes to additional comorbidities including diabetes, kidney disease and several cancers. Change4Campbelltown implemented a ‘whole of system’ approach to address childhood overweight and obesity. We present methods to track implementation and stakeholder engagement in Change4Campbelltown. Methods Change4Campbelltown aimed to build capacity among key leaders and the broader community to apply techniques from systems thinking to develop community-led actions that address childhood obesity. Change4Campbelltown comprised development of a stakeholder-informed Causal Loop Diagram (CLD) and locally-tailored action plan, formation of key stakeholder and community working groups to prioritise and implement actions, and continuous monitoring of intervention actions. Implementation data included an action register, stakeholder engagement database and key engagement activities and were collected quarterly by the project management team over 2 years of reporting. Results Engagement activities increased level of community engagement amongst key leaders, the school-sector and community members. Community-led action increased as engagement increased and this action is mapped directly to the primary point of influence on the CLD. As action spread diversified across the CLD, the geographical spread of action within the community increased. Conclusions This paper provides a pragmatic example of the methods used to track implementation of complex interventions that are addressing childhood overweight and obesity.

scholarly journals The importance of changing urban scenery in the assessment of citizens’ soundscape perception. On the need for different time-related points of view

Noise Mapping ◽  
2021 ◽  
Vol 8 (1) ◽  
pp. 138-161
Author(s):  
Jerónimo Vida Manzano ◽  
José Antonio Almagro Pastor ◽  
Rafael García Quesada
Keyword(s):  
Urban Areas ◽  
Noise Exposure ◽  
Noise Control ◽  
Action Plan ◽  
Heavy Traffic ◽  
Legal Protection ◽  
Complementary Method ◽  
Reduction Strategies ◽  
The Right ◽  
The City

Abstract The city of Granada is experimenting a big urban transformation, attending national and international commitments on clean air, energy efficiency and savings linked to greenhouse gases reduction strategies and sustainable development action plans. This situation constitutes a good scenario for new noise control approaches that take into account the sound variable and citizens empowering in urban design, such as the soundscape assessment of urban territory. In this way, soundscape tools have been used in Granada as a complementary method for environmental noise characterisation where traditional noise control techniques are difficult to be carried out or give limited results. After 2016 strategic noise map and in the preparation of the new noise action plan, the city came across a great acoustic challenge in a new area located outskirts characterised by growing urbanisation, still under development, the greatest legal protection because of sensitive teaching and hospital buildings and the greatest noise exposure from nearby ring-way supporting heavy traffic flow. As quiet urban areas are not characterised by the absence of noise but for the presence of the right noise, this research intended to provide the local administration with results and proposals to transform this conflict area in a pleasant or quiet urban place. Main results came from important and significative differences in morning and evening characterisation, as great differences appear in soundscape assessment over the day and along the soundwalk path, indicating the importance of time and local issues to adequately characterised citizens perception to be considered by administration in the development of strategies and effective noise control actions.

scholarly journals Suicide attempts by exogenous intoxication among female adolescents treated at a reference hospital in the city of Recife-PE, Brazil

2011 ◽  
Vol 64 (5) ◽  
pp. 833-838 ◽  
Author(s):  
Juliana Lourenço de Araújo Veras ◽  
Cintia Regina Tornisiello Katz
Keyword(s):  
Suicide Attempts ◽  
Family Relations ◽  
Care Center ◽  
Female Adolescents ◽  
Treatment Programs ◽  
Structured Interviews ◽  
Vulnerable Group ◽  
Toxic Agent ◽  
Reference Hospital ◽  
The City

This study aimed to assess cases of self-inflicted poisoning among adolescents reported by the Toxicological Care Center of a reference hospital in Recife-PE, Brazil. The data were collected between March and May 2010 from hospital charts and structured interviews with the participants and parents/guardians. Among the 25 cases of attempted suicide registered in the period, 21 were female adolescents, who made up the sample of the present study. The adolescents were between 13 and 19 years of age. Pesticides were the most frequent toxic agent used (61.9%). The results of the present study underscore the importance of studying suicide in this population, with a focus on family relations, in order to lay the foundation for the development of prevention and treatment programs for this vulnerable group.

scholarly journals KEPEMIMPINAN FX.HADI RUDYATMO DALAM MEWUJUDKAN SOLO KOTA LAYAK ANAK

2017 ◽  
Vol 8 (1) ◽  
pp. 122
Author(s):  
Yunita Ratna Sari
Keyword(s):  
Information Management ◽  
Information Management System ◽  
Research Assessment ◽  
Number Of Children ◽  
Two Cities ◽  
Qualitative Descriptive ◽  
Descriptive Approach ◽  
The Government ◽  
The City ◽  
Hiv Aids

Solo is one of the two Cities in Indonesia that received the highest award of District / City Worthy Children's implementation from President JokowiWidodo as the City of Eligible Children. The success of Solo to get the award of Decent Child's City can not be separated from the leadership FX.HadiRudyatmo as the Mayor of Solo. The objectives of this research are: (1) To know and explain the leadership of FX.HadiRudyatmo in realizing the Solo of Decent City, (2) To analyze and analyze the factors that make Solo Municipal Children's Favorite and (3) to know and analyze the actors who contribute greatly in Solo Kota Decent Children. The method used in this study is a qualitative descriptive approach that explains the results of research, assessment and other references reinforced by empirical data conducted through interviews and observation. The results showed that the leadership of FX.HadiRudyatmo in realizing the Decent City Solo is very democratic but the egosektoral among the Organization of Regional Devices in realizing the Solo Municipal Decent Children is still high and there are still problems that can not be resolved even though Solo gets the predicate Solo Kota Major Main is the number of children who exposed to HIV / AIDS is still high and the availability of child data information management system. Recommendations given to the Government are to build more intense communications and improve routine coordination among the Regional Device Organizations through scheduled meetings amongst the WTO, promoting socialization and education to all levels of society on HIV / AIDS as well as the creation of a web data base on child data.Keywords: Leadership, Head of Region, District / City Eligible Children

scholarly journals Evaluasi jenis dan pola penanaman tanaman di median Jalan Ir. Soekarno Kota Saumlaki, Maluku Tenggara Barat

2020 ◽  
pp. 139
Author(s):  
Merlin F. A. Lerebulan ◽  
I Gusti Agung Ayu Rai Asmiwyati ◽  
I Made Sukewijaya
Keyword(s):  
Public Works ◽  
Survey Method ◽  
Road Users ◽  
Potential Benefits ◽  
Descriptive Approach ◽  
Strong Winds ◽  
Quantitative Descriptive ◽  
Samanea Saman ◽  
The City ◽  
Assessment Result

Evaluation of type and planting system at the median road of Ir. SoekarnoMedian strips the City of Saumlaki, Maluku Tenggara Barat. Planting plants in the median strip Ir. Soekarno was dominated by Trembesi trees (Samanea saman) with tree branches that grew beyond the median strip. It was quite dangerous for road users because the Trembesi trees can easily be fallen when exposed to strong winds. Despite its problems, the Trembesi tree had ecological potential benefits such as the highest oxygen-producing and pollutant-absorbing capacity. This study aims to determine and evaluate the types of plants in terms of the physical categories and functions of plants and spacing. This study was located in Ir. Soekarno Road, South Tanimbar District, Town of Saumlaki, Maluku Tenggara Barat Regency. The standard of assesment for median road plant used The Guidelines Regulation of Public Works Minister 2008. Survey method with quantitative descriptive approach was used was this study by taking four samples of the median road segment. The physical assessment results for the four samples varied, those were moderate, good, and very good. The assessment result of functions in each segment had been fulfilled the categories with good and very good criteria, howevere the function needs to be improved. The value of distance assessment for each segment varied, those were good and very good. In order to increase plant distance category, it was necessary to add plants in each segment.

scholarly journals Houston Health Department’s response to the threat of Zika virus

2017 ◽  
Vol 9 (1) ◽  
Author(s):  
Eric Bakota ◽  
Kirsten Short ◽  
Amanda Eckert
Keyword(s):  
Public Health ◽  
Zika Virus ◽  
Mosquito Control ◽  
Action Plan ◽  
Community Outreach ◽  
Health Department ◽  
Public Health Authority ◽  
The Public ◽  
Incident Command ◽  
The City

ObjectiveThis session will explore the role of the Houston Health Department(HHD) in the City of Houston’s response to the threat of Zika. Thepanelists will provide perspective from the roles of Bureau Chief,informatician, and epidemiologist and provide insight into lessonslearned and strategic successes.IntroductionZika virus spread quickly through South and Central America in2015. The City of Houston saw its first travel-related Zika cases inDecember of 2015. On January 29th, the City held the first planningmeeting with regional partners from healthcare, blood banks,petrochemical companies, mosquito control, and others. Additionallythe City activated Incident Command Structure (ICS) and designatedthe Public Health Authority as the Incident Commander.Initial steps taken by HHD included expanding the capabilityand capacity of the public health laboratory to test for Zika virus;expand surveillance efforts; created an educational campaign aroundthe “3Ds” of Zika defense (Drain, Dress, DEET) which were thendisseminated through several means, including a mass mailing withwater bills; and provided DEET to mothers through the WIC program.The Houston Health Department took the lead in authoringthe City’s Zika Action Plan. In this 3 goals and 6 strategies wereidentified. Goals included 1) Keep Houstonians and visitors aware ofthe threat of Zika; 2) minimize the spread of the virus; and 3) protectpregnant women from the virus. The 6 strategies employed were toA) develop preparedness plans; B) implement ICS within the City;C) ensure situational awareness through surveillance; D) Increasecommunity awareness; E) reduce opportunities for Zika mosquitobreeding grounds; and F) provide direct intervention to reduce thethreat of Zika.HHD was responsible for many of the action items within theplan. We conducted several community outreach events, where wedisseminated educational materials, t-shirts, DEET, and other give-aways. These events allowed frequent engagement with the public forbidrectional communication on how to approach the threat.

scholarly journals Characterization of the clinical laboratories of the municipality of Ocaña

2019 ◽  
Vol 11 (11) ◽  
pp. 23-30
Author(s):  
Yeiny Coronel Nuñez ◽  
Blanca Mery Velasco Burgos ◽  
Maribel Cárdenas -García
Keyword(s):  
Years Of Experience ◽  
Quantitative Methodology ◽  
High Quality ◽  
Clinical Laboratories ◽  
Provision Of Services ◽  
Descriptive Approach ◽  
Necessary And Sufficient ◽  
Installed Capacity ◽  
The City

The services provided by clinical laboratories play a preponderant role in sanitation since the results of these examinations the doctor obtains information about the pathologies of his patients. The purpose of this study was to characterize the clinical laboratories of the municipality of Ocaña, it was developed using the quantitative methodology, with a descriptive approach, and it had a population and sample of 11 clinical laboratories in the city. The results show that they are formed as legal entities, with eleven to 46 years of experience in the field and only provide first-level services of complexity because they do not have the necessary and sufficient installed capacity to develop more advanced processes, which affects Their competitiveness in the market and the need to continuously establish strategies that allow them to have good development and high quality in the provision of services is evident.

scholarly journals Implementasi Kebijakan Program Relawan Demokrasi oleh KPU Kota Padang pada Pilkada 2018

2019 ◽  
Vol 2 (3) ◽  
pp. 190-196
Author(s):  
Kurnia Hariyanto ◽  
Al Rafni
Keyword(s):  
Community Participation ◽  
Participation Rate ◽  
Volunteer Program ◽  
Program Policy ◽  
Qualitative Descriptive ◽  
Descriptive Approach ◽  
The City ◽  
Election Commission ◽  
Principal Task ◽  
Factors Of Success

The number of voters in the elections post reform tends to decline. The reality has made the General Election Commission (KPU) take the policy of democracy Volunteers (relationships) that the management is located in the city level or districts. The main objective of the volunteer democracy policy is increasing voters participation. In Padang City, the Program policy is assessed successfully. This can be seen from voters ' participation in the 2013 election which is only about 52%, declining from the local 2008 elections where the community participation rate of Padang is around 56% and then at the election 2018 where there is a policy of volunteer democracy level Community participation increased by 12% with a participatory rate of 64%. It can be scientifically researched about how the implementation of the program of Democratic volunteers by the KPU in Padang city elections 2018 if viewed from the factors of success. The research method uses a qualitative descriptive approach. The results of the research gained that the implementation of the policy of Democratic Volunteer Program in KPU in Padang city elections there are factors of success such as effective communication, the resources of adequate democratic volunteers, even though the budget is limited, Disposition, where the volunteers of democracy have a strong commitment to run the program, and the bureaucracy structure, KPU has operational standards and a clear principal task. The purpose of the study was as one of the evaluations in the policy of KPU to increase voters participation in the elections.

scholarly journals The Level of Using Information Storage Strategies for Memorizing the Holy Qur'an by the Koranic School Students in the City of Batna in Algeria

2017 ◽  
Vol 11 (1) ◽  
pp. 221
Author(s):  
Makhloufi Said
Keyword(s):  
Psychometric Properties ◽  
Information Storage ◽  
School Level ◽  
Organizational Strategies ◽  
School Students ◽  
Academic Level ◽  
Descriptive Approach ◽  
The City ◽  
Academic Year ◽  
Koranic School

This study aimed to identify the level of using Information storage strategies formemorizing the Qur'an by the koranic school students in light of the variables: Gender, academic level, and age. To achieve the objectives of the study, the researcher used descriptive approach. The researcher applied a questionnaire of his design after confirming its psychometric properties on a sample of 82 students, including 40 males and 42 females within koranic schools in the city of Batna Algeria, for the academic year 2014/2015. The results showed the koranic school students use regulatory, cognitive, and emotional strategies respectively to save the koran and that the level of using of these strategies was 74,3%. The results also showed a statistically significant differences in the level of using these strategies due to gender. Cognitive and organizational strategies came in favor of females while emotional strategy came in favor of males. The results showed also statistically significant differences in the level of using these strategies in favor of the school level (secondary, and university) within cognitive and organizational strategies. No statistically significant differences was found among the sample in regard to age.

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